NF CLERICAL SUPPORT

Essential Duties & Responsibilities

• Send appropriate initial and follow up forms in compliance with applicable regulations.
 o Timely set-up new claims.
 • Index and route mail including doc typing and setting task descriptions.
 • Make appropriate inquiry to obtain additional information required to effectuate job responsibilities.
 • Timely complete and maintain mailing logs.
 • Support the timely delivery of mail and files to the claims professionals.
 • Obtain and follow up for W9’s; keep, preserve and organize returned W9’s.
 • Copy files.
 • Fee Schedule NF billing including generation of EOB’s.
 • Maintain records and provide information to generate production reports.
 • Assist in check request and preparation process.
 • Assist in preparation of denials and delays.

• Assist in preparing a file for IME or Peer Review for the vendor.
• Assist in identified initiatives or projects.
• Assist in effectuating the dosing of files.
• Telephone contacts with claimants and providers.
• Facilitate the generation of pay requests.
• Facilitate the referral for TOA investigations.

Other Duties

This job description in no way states or implies that these are the only duties to be performed. You will be expected to follow any other job-related instructions and to perform other job-related duties as requested by your supervisor.

Qualifications

Basic but evolving knowledge of the applicable No Fault claims and applicable regulations and litigation.