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Program Assistant Jobs in USA, WI, Madison | Rose International Job
Job
Rose International
Madison, WI (In Person)
Full-Time
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Job Description
Required Education:
- High School diploma or equivalentRequired skills, knowledge, and
Abilities:
- Effective oral and written communications
- Knowledge of customer service methods
- Knowledge of investigative techniques
- Knowledge of dispute resolution methods, principles and techniques
- Knowledge of and skill in problem solving and conflict resolution techniques
- Knowledge of medical terminology
- Knowledge of coding for health care service procedures
- Skill in a PC environment
- Skill in working in a team environment
- Effective oral and written communication skills
- Basic mathematic skills to perform payment calculations
- Ability to read, interpret and apply statutes and administrative rules
- Ability to deal with medical reports, documents and other factual materials
- Ability to work with computer health service cost databases and imaging systems
- Ability to make difficult and unpopular decisions and work with diverse groups
- Ability to maintain cooperative relationships with co-workers and division staff
Job Summary:
Under the supervision of the Legal Services Bureau Deputy Director this position is responsible to resolve health care disputes over the reasonableness of fees and necessity of treatment for medical services provided to injured workers; prepare cases for resolution of disputes involving the pharmacy fee schedule; and provide professional and administrative support with handling claim correspondence.Essential Duties and Responsibilities:
- Resolve health cost disputes involving reasonableness of fees for medical services provided to workers for work related injuries and disputes involving the pharmacy fee schedule (60% of the time)
- Prepare cases for resolution of necessity of treatment disputes (30% of the time)
- Provide information, instruction and assistance to the public for resolution of complex claim problems including resolution of health cost disputes (10% of the time)
- Only those lawfully authorized to work in the designated country associated with the position will be considered.
- Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client's business needs and requirements.