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Medical Claims Coordinator - Military Veterans

at Act One

AppleOne is proud to present:
About Us:
We are working with a claims company on the West Side of Pittsburgh who are dedicated to providing exceptional care and support for work-related injuries. The team works closely with employers and healthcare providers to ensure injured employees receive the best possible treatment and care. This company values collaboration, efficiency, and a commitment to quality service.

Position Overview: We are seeking a detail-oriented and proactive Medical Claims Coordinator to join our team. In this role, you will play a crucial part in managing work-related injury cases, ensuring smooth communication between all parties involved. If you have a medical background and thrive in an office environment, we would love to hear from you!

Key Responsibilities:
- Coordinate work-related injury cases by scheduling appointments with specialists, physical therapists, and diagnostic testing for injured employees.
- Serve as the main contact between injured employees, medical professionals, employers, insurance carriers/TPAs, and other healthcare providers.
- Monitor and track all medical and diagnostic appointments in the CMS system on a daily basis.
- Collect, review, and distribute completed patient status forms from physicians within 24 hours, ensuring accuracy and completeness; follow up with providers for any missing information.
- Thoroughly document patient appointments, treatment plans, and progress in case notes as per Injury Care procedures.
- Work closely with different departments to resolve client issues and potential problems.

Qualifications:
- Background in healthcare or medical administration required.
- Strong organizational skills and attention to detail.
- Excellent communication and interpersonal skills.
- Ability to manage multiple tasks and prioritize effectively.

Why Join Us?
- Competitive salary and comprehensive benefits package.
- Opportunity for professional growth and development.
A casual and supportive work environment that has a focus on work-life balance.

Put in an application today to be considered for this amazing opportunity!

EEO/AA Employer/Vet/Disabled.



The Know Your Rights poster is available here:

https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf



The pay transparency policy is available here:

https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf



For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.



We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.



AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.

https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf



We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.


#2720


Experienced (Non-Manager)

Pittsburgh, PA

Salary Range
$0 to $50,000
Act One

The ActOne Group is a global leader in the human resources industry that specializes in partnering with firms looking to optimize human resource talent management. For nearly 50 years, we have found success by focusing our energy on three distinct business categories: Workforce Solutions, Staffing Solutions and Business Solutions. Today, The ActOne Group has over 13,000 clients and 2,500 employees located throughout the United States, Canada, Puerto Rico, India, Brazil, South Korea, Germany, Denmark and the United Kingdom. We are a privately-held California corporation that bears the distinction of being the largest zero-debt, woman- and minority-owned workforce management company in the United States. WORKFORCE SOLUTIONS AgileOne combines best-of-breed talent acquisition technology with an experienced managed services team to create a valuable workforce technology solution. We help organizations streamline processes, from the automation of requisitions and time-card management, to supplier relationship support, accurate invoice processing and real-time, customized reporting. STAFFING SOLUTIONS We are one of the Staffing Firms in the U.S. and provide services under these brands: - AppleOne Employment Services - AllSTEM - All's Well Health Care Services - ActOne Executive Search BUSINESS SERVICES - A-Check America - AppleOne Payroll & Tax Filing - CTA Travel - full service travel agency - ActOne Government - ATIMS - AllCare

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