Rising Medical Solutions

Manage and assign files, interface with providers, and support team activities in a remote setting. | Experience in administrative support, good computer skills, and ability to follow procedures, with some familiarity with medical or workers' compensation fields preferred. | We are looking for a Medical Administrative Assistant to join our team! Are you someone who thrives in a fast-paced office environment where your time management, attention-to-detail, and communication skills are put to good use? Are you looking to switch from a hospital environment to remote office work? We might have the perfect entry/mid-level opportunity for you. Join our medically-based concierge service and early intervention program and help impact injured workers lives by coordinating services, providing resources to our constituencies, and helping people when they need it most. The Injury Coordinator (working title: Medical Administrative Assistant) works in a remote office setting to: Manage and/or assign files to appropriate staff member and initiate appropriate verbal and/or written contacts with employers, clients, claimants, and medical providers. Set up files in all appropriate systems; assign files, when applicable, to the nurse. Maintain responsibility of an individual caseload. Maintain appropriate electronic and paper files. Interface with a variety of inter-disciplinary providers (e.g., PT, diagnostic, psychology, etc.). Identify, maintain, and update participating providers. Answer incoming calls, and direct the call appropriately. Process all documents using computer, copier, and scanner. Search and copy the appropriate internal criteria guidelines, when appropriate. Work as part of a team to meet turn-around time for the set activity. Keep supervisor advised of any problems or delays. Continually improve job skills and knowledge of all company products and services as well as customer issues and needs, through ongoing training and self-directed research. Adhere to company policies, procedures, and reporting requirements. Experience in any of the following disciplines a plus – CNA, Medical Assistant, Physical Therapy Aide, Workers’ Compensation, Medical Unit Claims Administrator, IME Coordinator, Medical Office Manager Experience with workers' compensation or disability (a plus!) Bachelor's or Associate's Degree preferred but not required Intermediate computer and internet skills (will work with programs including MS Word, Outlook, and Excel) Basic knowledge of/ability to read medical reports The ability to research evidence-based guidelines An understanding of workflow guidelines and follow as necessary Proficient verbal/telephone and written communication skills A high level of efficiency, ability to maintain rapid workflow An aptitude for learning, organization skills and the ability to follow systems and procedures A time-management mindset, along with planning, and prioritization skills The ability to work independently as well as part of a team The ability to express empathy with injured and/or disabled people A customer service mindset Ability to work Monday-Friday on a 1st shift central time zone Comprehensive benefit package including health/dental/vision insurance, profit sharing, 401k matching, generous time off Traditional first shift schedule A relaxed, yet upbeat, work environment, with a jeans professional dress code when onsite In-office days reserved for training or team events Awesome downtown location in River North Close to public transit Rising was named a Top Workplace in the healthcare industry for 2023! Check out our profile here: Rising Medical Solutions, Inc Profile (topworkplaces.com)

The Claims Specialist will assist in reviewing, processing, and coordinating claims accurately in accordance with program requirements. This role involves maintaining knowledge of program requirements and developing relationships with clients and members while ensuring compliance. | A high school diploma is required, with an associate's or bachelor's degree preferred. Candidates should have 2-4 years of insurance or healthcare experience, preferably in claims or medical billing-related positions. | The Claims Specialist will assist in reviewing, processing, and coordinating claims accurately in accordance with the program requirements while ensuring compliance and enhancing client relationships. In this job, you will: Maintain ongoing knowledge of program requirements Analyze and process claims for accuracy, eligibility, and benefits coverage Retain and strengthen relationships with clients and members Assist members in managing and resolving reimbursement issues related to medical services and covered expenses that are medically necessary Correspond to verify if the amounts are related to the claim Develop and maintain a working knowledge of medical bill processing, procedures, and supporting systems Adhere to quality assurance objectives and goals Develop and maintain a working knowledge of all support systems to ensure ever increasing client value and Rising’s returns from administration services Research and utilize problem-solving skills to resolve claim discrepancies, errors, or incomplete information by communicating with providers, members, or internal departments Keep management updated on activities, issues and developments Document all claims decisions and communications with members in the system accurately and timely Ensure strict confidentiality of all medical information and adhere to privacy regulations and company policies Special projects as assigned by management Reports to: Program Manager Education/Training High school diploma required; Associate’s or Bachelor’s degree preferred CPC (Certified Professional Coder), CCS (Certified Coding Specialist) or equivalent medical coding certification preferred Experience 2-4 years of insurance or healthcare experience, preferably in claims or medical billing-related position(s) Skills/Competencies Knowledge of Group Health Insurance, Workers' Compensation, No-Fault, and/or Liability industry Strong knowledge of medical terminology, CPT and ICD coding, and healthcare billing practices Well-developed time-management, organization, and prioritization skills Excellent analytical skills Customer-service orientation Excellent oral and written communication skills Knowledge of medical billing procedures Ability to gather data, compile information, and prepare summary reports Strong interpersonal and conflict resolutions skills Ability to work independently and as part of a team a fast-paced, multi-faceted environment Demonstrated persistence and attention to detail Physical/Mental Demands: Remaining in a seated position Entering text or data into a computer Visual Acuity Talking Hearing Repetitive arm, hand, and finger motions Working remotely some or all of the time Pay Range: $24-28.00 Health insurance (4 different plans to choose from) Dental Vision Paid time off (PTO) or Flexible Time Off (FTO) 401(k) Basic Life Insurance and Long-Term Disability Insurance (paid by the company) Voluntary Life Insurance and Short-Term Disability Insurance Flexible Spending Accounts (FSA) Employee Assistance Program (EAP) Rise Well Wellness Program Professional Development Reimbursement Program (PDRP) You will be part of our new Elevate program designed to recognize and reward employees for their hard work About Us: Headquartered in Chicago, RISING Medical Solutions is a privately held, financial solutions organization offering medical cost containment and care management services. With offices, providers, and case managers nationwide, RISING provides comprehensive medical claims solutions to our valued clients: insurance carriers, Fortune 1000 employers, third party administrators, and government organizations. At RISING, we’re committed to: Continuous technological improvement Entrepreneurial attitude Seven core values that emphasize teamwork, ethical behavior, customer service, continual improvement, positive attitude, focusing on what's really important, and keeping a sense of humor Responding quickly to client needs Being the best, not the biggest