Mitchell International, Inc.

  • Medical Services Support 1 (Richardson, TX)

    Job Location US-TX-Richardson
    Job ID
    18-8457
    Type
    Regular Hire
  • Company Overview

    Mitchell International, Inc. is a leading provider of information and workflow solutions to the Property & Casualty Claims Industry and their supply chain partners. We solve interesting and complex problems that directly affect the customers our clients serve. We are constantly adapting to stay on the forefront of emerging technologies and we work diligently to maintain our position as a thought leader within our industry.

     

    Mitchell’s worker’s compensation national medical management program offers solutions for insurance carriers, third-party administrators and employers. We recommend an integrated suite of solutions that include utilization review and case management with a focus on managing total claims costs while expediting safe return to work.

    Job Description

    Provides administrative processes support for tasks such as data entry, document verification, communication to providers and clients. Routine decision-making is tightly defined, with greater latitude at higher job levels, all the while focused on efficient processing of high-volume transaction-oriented assignments. Scope of work is defined by the contractual nature of the business.

     

    Primary Responsibilities:

    • Receive and respond to telephone calls through the Phone Queue
    • Communicate with external parties, advising referral status, prior authorizations, etc.
    • Accurately, data enter preauthorization requests obtained via phone, web portal, mail and fax
    • Process and maintain claims information and medical documentation within prescribed timeframes 
    • Prepares administrative files for Medical Directors, UR Nurses and Physician Reviewers
    • Performs daily referral Reconciliation and reporting
    • Observe jurisdictional specifics to ensure adherence to state regulations
    • Maintains knowledge of Client specifics, WC processes, state regulations, company procedures, and URAC policies
    • Review medical records to gather data, codes, etc.
    • Performs all other related duties as assigned

    Qualifications

    Our Operations department is seeking individuals who are: 

    • Detail Oriented
    • Team Players
    • Committed to Excellent Customer Service
    • Computer Savvy
    • Effective Time Management Skills
    • Familiarity with Pre-Authorization Services & Medical Coding
    • Committed to Success 
    • Independent Thinkers
    • Experience with Microsoft Office (Outlook, Excel, Word)
    • Minimum Requirements: High School Diploma or GED Equivalent

    Mitchell International, an equal opportunity employer, values the diversity of our workforce and the knowledge of our people.  Mitchell will not discriminate against an applicant or employee on the basis of race, color, religion, national origin, ancestry, sex/gender, age, physical or mental disability, military or veteran status, genetic information, sexual orientation, gender identity, gender expression, marital status, or any other characteristic protected by applicable federal, state or local law.

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