National Protocol Specialist

Company:Concentra Location:Plano, TX 75024 Job Category:Customer Support/Client Care Reference Code:conc-00018934 Concentra is an Equal Opportunity Employer. JOB SUMMARY: Under indirect supervision analyzes, enters, and logs OccuSource employer profiles & protocols (new & updates) received from internal sources to ensure timely reimbursement for services billed in accordance with Concentra, Central Billing Office, and Information Management policies and procedures. MAJOR DUTIES AND RESPONSIBILITIES: Employer Profile Set Up 'Enters data from profile forms completed by National Account Manager and Hierarchical Storage Management 'Enters employer information in multiple markets gathered from both internal and external sources by National Account Manager 'Communicates with internal sources for clarification of employer information 'Analyzes information provided 'Communicates with internal sources about incomplete or inaccurate data 'Enters components from the profile 'Verifies components are linked to correct billing relationship and are priced correctly 'Adds relationships to rolodex, i.e.: lab, workers compensation insurance, other payers, and medical review officer 'Enters locations in rolodex and ensures correct billing options are selected 'Processes auto-communication and subscription service set upEmployer Account Maintenance 'Processes daily updates provided by internal sources 'Updates employer accounts 'Processes rolodex updates (location, workers compensation, third party administrators, lab, etc.) 'Processes program updates in market dictionary 'Updates medical review officer in rolodex 'Updates auto-communication and subscription services EDUCATION/CREDENTIALS: 'High school diploma/some college preferred JOB RELEVANT EXPERIENCE: 'Minimum of one-year medical data entry experience (preferred), medical billing courses may take the place of on-the-job experience. DEMONSTRATED JOB-RELATED SKILLS/COMPETENCIES: 'Familiarity with Microsoft Excel and Word 'Demonstrated excellent communication and organizational skills (including telephone etiquette) 'Demonstrated problem solving and ability to handle multiple tasks 'Demonstrated ability to maintain composure with deadlines 'Demonstrated excellent writing and documentation skills WORKING CONDITIONS/PHYSICAL DEMANDS: 'Office environment, 'Sitting for extended periods of time 'Heavy data entry 'Some telephone work 'Extended hours as needed. To Apply, Click here The Circle of Success.Concentra's mission is to improve the quality of life by making health care accessible and affordable. We serve the occupational, urgent care, and automobile markets with a wide range of services: Employment-related injury care and occupational health care provided at more than 320 Concentra-managed medical centers in 40 states. Urgent care services provided to the public at selected medical center locations in key metropolitan areas. Specialty occupational health care solutions provided to employers through on-site locations, by traveling to the workplace, or via the Internet and telephone. Automobile claim services through our Auto Injury Solutions division. The Circle of Opportunity. Concentra manages more than 320 medical centers in 40 states and continues to expand our geographic reach through the acquisition of established medical providers and the development of new locations. We are actively expanding our Urgent Care service offering by adding this capability to existing Concentra Medical Center locations. Our specialty health services, which we refer to as our Health Solutions division, is rapidly expanding as we identify new ways to provide customized health care solutions for employers and their workers.The Circle of Teamwork. Concentra brings together talented, compassionate people to solve the highly complex issues of health care delivery, accessibility, and affordability. Every day, we make a difference in the lives of thousands of people through our ability to improve health care efficiency and outcomes. Your career path and development can be on-the-go at Concentra, where you can advance as far as your ideas and performance can take you.