What are the responsibilities and job description for the Claims Support Associate - Medical Bill Review position at Florida Fruit & Vegetable Association?
Claims Support Associate - MBR
Relationships at work begin with hiring top people in our industry. We are seeking candidates interested in joining our Claims team. Success in this position requires the candidate be self-motivated, detailed driven and eager to learn, with a focus on providing great customer service to both our staff and external clients.
FFVA Mutual is a workers’ compensation carrier, rated A- (Excellent) by A.M. Best, which insures a variety of businesses across all major industry groups in ten states (AL, FL, GA, IN, KY, MS, NC, SC, TN, and VA). We offer a family-friendly atmosphere and strong employee benefits.
ESSENTIAL FUNCTIONS:
· Perform entry level duties to assist Medical Bill Reviewers in processing medical bills for workers compensation claims within the limits of time allotted. This position and functions are an entry-level role.
· Receive and review medical bills associated with claims. Ensure that provider billing is following each State regulations.
· Take calls from providers on payment status.
· Make calls to providers to request documentation needed (W9, proper forms)
· Review status of documentation submitted through the fax for payment status.
· Generate letters to request documentation related to submitted bills for processing.
· Perform mailroom functions and scanning.
· Clerical duties as needed.
· Generate EOBR’S report, printing, and sorting to send by mail.
· File documents by receiving date order, rotate and discard according to guidelines.
REQUIRMENTS:
· High school diploma
· Written and verbal communication skills
· Customer service skills
· Able to work in a fast-paced environment, demonstrating adaptability, efficiency, and strong organizational skills.