The posting
Responsibilities Come and join the RMC Family! We have been in the community since 1935. Our mission is to provide comprehensive multi-specialty medical services in the greater Riverside region. Your passion, inspiration, and talents are invaluable to us and our mission to serve others. Our facility can provide a place for you to thrive and continue your professional development. Quality Healthcare is our passion, improving lives is our reward. We are working to change lives and transform the delivery of healthcare. Riverside Medical Clinic is the best place to work, practice medicine, and receive care. SUMMARY: Responsible for coordinating patient care for Workers Comp. and Occupational Medicine patients, registration, and referrals. Complete work statuses, PR2’s and send to employers/adjusters. Complete and submit Request for Authorization to adjusters and Utilization review. Follow up on pending requests for authorization. Work with the Business Office on various Work Comp patient billing questions. QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Qualifications EDUCATION and/or EXPERIENCE: High school diploma or general education degree (GED) required. One to two years related experience and/or training; or equivalent combination of education and experience. CERTIFICATES, LICENSES, AND REGISTRATIONS: None ESSENTIAL FUNCTIONS: Essential functions are those tasks, duties and responsibilities that comprise the means of accomplishing the job’s purpose and objectives. Essential functions are critical or fundamental to the performance of the job. They are the major functions for which the person in the job is held accountable. Note: (other duties may be assigned, deleted or changed at any time, at the discretion of management, formally, or informally, either verbally or in writing). 1. Cooperate in the cross training of this position to ensure adequate coverage at all times. Cooperate in being cross-trained to another position to ensure coverage at all times. 2. Initiates Occupational Medicine process set forth by workers comp guidelines and follow Employer Profile as set forth by department protocol. 3. Schedule new and established patients according to the approved Clinic and Workers’ Comp guidelines and the appointment scheduling policies and procedures. 4. Verify workers comp patient information with employer/insurance carrier following patient registration criteria. 5. Certified- Performs and completes walk- in Pre-employment Urine Drug Screen, Alcohol Swabs testing, DOT and completes Chain of Custody Form. 7. Check-out patient documents as set forth by Workers Comp guidelines and Employer Profile. 8. Take messages route for office staff and providers as requested and when appropriate and according to protocol. 10. Respond to emails/fax requests from employers, attorneys, and insurance carrier as per department protocol. 11. File documents according to guidelines. 12. Obtain authorization from insurance carrier for patient referrals set forth by workers’ comp guidelines. 13. Respond and send correspondence via email and fax to employers, insurance carriers and attorneys as set forth by workers’ comp guidelines. 14. Assume data entry duties as required. 15. Coordinates transportation for new injury as per employer profile. 16. Travels to other Occ Med clinics to help cover when needed. This opportunity offers the following: Challenging and rewarding work environment Growth and Development Opportunities within UHS and its Subsidiaries Competitive Compensation About Universal Health Services One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Avoid and Report Recruitment Scams At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
