ADP is hiring a Medical Review Specialist. In this position, you'll join a team of professionals who are responsible for effectively managing leaves of absences (LOA) in accordance with Family Medical Leave Act (FMLA), state, municipality and customer-defined paid and unpaid requirements.
Responsibilities include reviewing healthcare provider certification and return to work forms to evaluate appropriateness of LOA request;
make decisions in a timely and accurate manner, seeking second / third opinions or calling practitioner offices when appropriate and resolving appeals / late submissions in an appropriate manner.
We strive for every interaction to be driven by our CORE values : Insightful Expertise, Integrity is Everything, Service Excellence, Inspiring Innovation, Each Person Counts, Results-Driven, and Social Responsibility.
RESPONSIBILITIES :
- Independently interprets and administers leave of absence programs and policies in accordance with the applicable federal and state employment laws (FMLA, Paid Family Leave (NYS PFL) ADA, USERRA, Pregnancy Discrimination Act, etc.).
- Enters timely documentation in an accurate and comprehensive manner while maintaining maximum levels of efficiency and confidentiality in accordance with HIPAA guidelines.
- Prepares and disseminates articulate written and verbal communication to assorted internal and external sources.
- Participates in the peer review process to ensure that internal and external documentation meets quality standards.
- Recommends and drives improvement to department processes to gain efficiencies and / or enhance the customer experience.
- Assists in training / orientation of new staff as requested.
- Maintain strict confidentiality when working with sensitive data.
- Work independently and as a team member
- Set priorities in day to day work
- Performs other related duties as assigned.
QUALIFICATIONS REQUIRED :
- LPN / LVN License, or higher clinical designation, from an accredited program and KY licensure in good standing.
- Graduate of a Certified Medical Assistant Program : Doctor Office Setting : Minimum of one (1) year experience.
- Expert knowledge of federal and state regulations that pertain to healthcare, leaves of absence and other employer sponsored benefit programs.
- Intermediate knowledge of Microsoft Office Suite, inclusive of Outlook, Word and Excel, sufficient to develop documents and spreadsheets for tracking and archiving information.
- Basic math skills.
- Ability to make decision and judgments utilizing problem solving skills.
- Excellent understanding of medical terminology / pathology / anatomy / ICD codes / diagnosis.
- Excellent interpersonal, phone and organizational skills required.
Travel Nurse RN - Rehabilitation - $2,078 per week
Medical Solutions LTC is seeking a travel nurse RN Rehabilitation for a travel nursing job in Louisville, Kentucky. Some of the industry-leading benefits enjoyed by Medical Solutions travel nurses and\n travel allied healthcare professionals include:. Day One Medical, Dental, and Vision with low pre...
Travel Nurse RN - PCU - Progressive Care Unit - $2,142 per week
RTG Medical-Nursing is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Louisville, Kentucky. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Progressive Care Unit...
Travel Nurse - RN - ICU - Intensive Care Unit - $1941.14 / Week - Hiring Now
Medical Solutions is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Louisville, KY. Day-one medical, dental, and vision insurance. Since 2001, Medical Solutions has made it our mission to provide "Service That Inspires" to our Travel Nurses, our Ho...
Travel Nurse - Registered Nurse - MS/TELE - Medical Surgical/Telemetry - $2235.24 / Week
TRS Healthcare is seeking an experienced Medical Surgical/Telemetry Registered Nurse for an exciting Travel Nursing job in Louisville, KY. Shift: 3x12 hr days Start Date: 11/11/2024 Duration: 13 weeks Pay: $2235. TRS Healthcare is seeking a Registered Nurse that is licensed in KY to work in the spec...
Travel Nurse - Registered Nurse - ICU - Intensive Care Unit - $2003 / Week
Advantis Medical is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Louisville, KY. Shift: 3x12 hr nights Start Date: 10/28/2024 Duration: 13 weeks Pay: $2003 / Week. Advantis Medical is ranked #1 by travel clinicians because of our relentless focus ...
Travel Nurse - RN - TELE - Telemetry - $2063.5 / Week
FlexCare Medical Staffing is seeking an experienced Telemetry Registered Nurse for an exciting Travel Nursing job in Louisville, KY. Additionally, the review may consider the potential impact on the nurse's ability to meet licensing and regulatory requirements as mandated by relevant healthcare agen...
Travel Nurse - RN - TELE - Telemetry - $2212.69 / Week
Coast Medical Service is seeking an experienced Telemetry Registered Nurse for an exciting Travel Nursing job in Louisville, KY. Shift: 3x12 hr nights Start Date: 11/03/2024 Duration: 13 weeks Pay: $2212. Coast Medical Service is a nationwide travel nursing & allied healthcare staffing agency de...
Medical Assistant, Pulmonary Specialists, Days
Graduate of a medical assistant program (or) One year as a Medical Assistant. The Medical Assistant works closely with the physician in the practice/center clinical setting, assists with direct patient care, and serves as the clinical liaison between physician and patient and between physician and t...
Certified Medical Assistant/LMR, West Louisville Urgent Care, First shift
Medical assistant diploma from accredited vocational institution, or community college course in medical assisting. Minimum one year of working in a medical facility as a medical assistant and X-ray technician. A non-exempt position responsible for performing a variety of duties in the medical pract...
Travel ICU (Intensive Care Unit) RN (Registered Nurse) in Louisville, KY - 768485
Day-one medical, dental, and vision insurance. Calling all healthcare rockstars! Are you a RN (Registered Nurse) with experience in ICU (Intensive Care Unit) If so, you might be the right fit for this travel healthcare position in Louisville, KY. Nurses and allied healthcare professionals are in hig...