IME Specialist (32731)

ExamWorks , a provider of Independent Medical Exams (IME) for some of the largest insurance groups, is looking for an IME Specialist to head up our operational billing and collections activity, internally known as Billing and Collections Supervisor . The position is not a traditional AP or AR role and will focus more on leveraging your expertise around insurance claims in the areas of first party no-fault disability, personal liability injury/third party auto, and workers' compensation. The position will oversee a team of five, assisting in the daily oversight of all business unit level billing and collections activity, while providing leadership and direction as needed. This position monitors timely invoicing, adhering to client expectations along with monitoring aging accounts. The position also ensures that all collection activity is handled professionally, timely, and in accordance with all company policies and procedures and state and federal guidelines. We utilize Collect-IT to easily track collection activity and automate email messaging. Prior experience with this software is desirable. The ideal candidate will have prior experience around IME’s, insurance claims or the medical legal arena, with exposure to either billing or collections and having led a team. Minimum of a high school diploma required and seeking candidates with 3 to 5 years of experience. This is an onsite position located at our Roseland, NJ office, however, we do consider a hybrid schedule once fully trained and operating independently. Essential Job Functions Oversee the department staff and ensure the systematic, accurate, and timely processing of all invoices and monthly billing reports. Provide administrative oversight and direct supervision of billing and collections staff. Ensure all invoicing is billed daily and in accordance with company practices and client contract agreements. As necessary, perform any follow-up on provider bills not received in a timely manner to decrease invoicing delays. Maintain systematic review of all aging accounts over 30 days and ensure department contact with clients regarding the collection of outstanding accounts. Identify and investigate any invoice problems or discrepancies and if necessary, make additional contact with clients for the collection of outstanding invoices or discuss invoicing discrepancies with physicians. Research and respond to inquiries from clients regarding payment issues, and invoice inquiries. Reports any unresolved disputes with clients or vendors to upper management for resolution. Maintain files on all pertinent billing and accounting information including service legal agreements with national accounts. When necessary, report any unresolved disputes with customers to the department manager for resolution. Prepare and provide various information as requested for audit. Ensure the confidentiality and security of all financial files. Perform a variety of clerical duties including, but not limited to, answering telephone inquiries, taking messages, filing, scanning and photocopying. Perform other duties as assigned. Essential Supervisory Responsibilities Carrying out all responsibilities in accordance with the company’s standard, policies, and all applicable employment laws. Managing and monitoring workflow and providing support, training, and techniques to assist staff in achieving department daily/weekly/monthly goals and standards. Encouraging positive morale, maintaining harmony among staff, and resolving grievances when necessary. Overseeing the completion and approval of employee timecards and coordinating overtime needs with management and staff as needed. Actively participating in the department’s staffing requirements including hiring, onboarding, and separating of employees. In conjunction with management, creating and implementing plan to meet department’s goals and metrics based on workload and client needs. Communicating change effectively and supporting those affected by change. Supervising insubordinate staff when warranted and initiating coaching or corrective actions as required and/or directed by upper management. Evaluating staff needs and performance, providing periodic feedback to staff and reporting any performance concerns and/or recommendations growth opportunities to management. Actively participating and successfully conducting annual performance evaluations. Qualifications Must be able to add, subtract, multiply, and divide in all units of measure, using whole numbers, decimals, fractions, hours & minutes, and possess the ability to compute rates and percentages. Must be knowledgeable in multiple software programs, including, but not limited to, Great Plains, Microsoft Word, Outlook, Excel, and the Internet. Ability to follow instructions and respond to management’s directions accurately. Demonstrate a high level of accuracy in preparing and entering financial information. Look for ways to improve and promote quality and monitors own work to ensure quality is met. Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed. Must be able to work independently, prioritize work activities and use time efficiently. Must be able to take independent actions and calculated risks when needed. Uses good judgment and include the appropriate people in the decision-making process. Must be able to maintain confidentiality. Must be able to stay focused and concentrate under normal or heavy distractions. Must be able to work well under pressure and or strict deadlines. Must be able to demonstrate and promote a positive team-orientated environment. Must possess the ability to manage change, delays, or unexpected events appropriately. Ability to follow all company policies and procedures in effect at time of hire and as they may change or be added from time to time. ExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers' compensation insurance coverages. Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws. Equal Opportunity Employer - Minorities/Females/Disabled/Veterans ExamWorks offers a fast-paced team atmosphere with competitive benefits (medical, vision, dental), paid time off, and 401k. #J-18808-Ljbffr ExamWorks