California Medical Evaluators (CME) and California Medical Legal Specialists (CMLS) are affiliate companies of MDPanel
MDPanel Mission:
Develop, support, and advance the preeminent community of physicians for the efficient delivery of medical opinions to those in need.
MDPanel Vision:
Become the undisputed, gold standard for the delivery of world-class medical opinions where passionate employees and unparalleled technology support all stakeholders with perfect efficiency.
MDpanel Core Values:
Make Physicians Lives Easier
Shoulder all administrative tasks and make clinical tasks easier to optimize clinicians’ time
Deliver Unparalleled User Experience for Stakeholders
Utilize technology and empower our employees to provide an elevated user experience for clinicians, carriers, and patient advocates
Think Big, Start Small, Move Fast
Build a mindset of perpetual innovation rooted in pragmatic bets that matter
Help the Patient
Deliver objective, well-informed, and comprehensive opinions so patients receive the appropriate level of care for their specific needs
Embrace the Pace
Make higher-quality, situationally-appropriate decisions palpably faster than our peers
Support Each Other
Accept accountability for and positively contribute to our community of support and respect for our fellow employees
Position Summary:
Triage representatives play a vital role with MDpanel. The Triage Representative will cross-check information for over 150 physicians. Formats and verifies billing in reports. Validates information and templates and confirms that bills/reports are compliant with state regulations. Works with doctors to optimize revenue. Conducts reconciliation of medical records. Predict possible issues that could cause delays and work to prevent them. The triage representative oversees report deadlines and ensures reports are submitted on time.
Shifts:
- Monday-Friday, 7:00 AM-3:30 PM
- Monday-Friday, 3:30 PM-12:00 AM
- Saturday-Sunday, 7:00 AM-3:30 PM
Essential Roles and Responsibilities:
- Reconciliation of Medical Records Vs. Initial Clerical Excerpts
- Investigating and troubleshooting discrepancies
- Verifies that required documents are available by the deadline
- Oversee reports deadlines and follow up with doctors accordingly
- Calls to verify billing information with physicians
- Follow-up with doctors on any missing information such as time spent
- Works with management to resolve any billing issues
- Perform data entry to all billing programs
- Verify that valid templates are being used
- Amends any reports that need to be updated
- Ensure bills/reports are compliant with state regulations
- Optimize revenue for physicians
- Works with adjacent departments to ensure successful submissions of Med Legal reports
- Cross-train with other tasks
Qualifications and Preferred Skills:
- HS Diploma/GED required College Degree preferred
- Experience with worker's compensation and med-legal billing a plus
- Must be a team player
- Strong interpersonal, written, and oral communication skills
- Proficient computer skills
- Ability to work independently & excellent organizational skills
- Must be Goal oriented
- Must be a Quick learner
- Ability to Multitask
- Must be able to prioritize
- Must be attentive to detail
- Maturity and a Professional Attitude
- Dependability and a Strong Work Ethic
- Initiative and Motivation
- Adaptability and Flexibility
- Analytical Skills