Admin Assistants, Medical Analysts and Nurses-RN

Procura Management, Inc. is a professional organization of experienced physicians, registered nurses, medical data analysts and vocational counselors committed to providing high quality health care management while controlling costs. Since our inception in 1989, we have prided ourselves on our responsiveness to customer needs, comprehensive rehabilitation strategies and the cost effectiveness of our full range services.

 

Procura Management Inc. currently has positions available within our corporate office located in the Valley Forge, PA area.

 

 

Medical Analyst:Performs data entry to/from healthcare provider documents to a computer application using current Bill Review software.Verifies data and performs administrative tasks related to data processing.Continues to learn and understands CPT Code Guidelines for specific states.Performs other related duties as assigned by supervisor.

 QualificationsHigh School Diploma or equivalent.

?  Good communication, organizational, and data entry skills.

?  Detail oriented.

?  Proficient computer skills

 

 Case Management Assistant

?  Receives calls from the providers, claimants, Attorneys and Accounts and takes in all necessary and pertinent information.

?  Generates and processes AIMS correspondence in accordance NJ AICRA and departmental policy and procedures.

?  Enters and manages all treatments plans in the QRIS system documenting all activities throughout the length of the file in accordance NJ AICRA and departmental policy and procedures.

?  Responds promptly to all providers to verify treatment status which includes but is not limited to initial treatment dates, session of TX to date, fax numbers and claim numbers, copies of medical and/or test/procedure/surgery report(s).

?  Receives TX Plan and Medical Report from provider, enters information into provider TX Plan upon case manager direction. Notifies Carrier of Treatment Plan activity, per account guidelines.

?  Follows up on daily entries and sends any Provider TX Plan letters as directed by Case Manager in accordance with departmental policy and procedures.

?  Prepares outgoing mail for AIMS Admin in accordance with departmental policy and procedures.

?  Assists in company outgoing mail processes when required.

 

 Qualifications

?  Associate?s Degree in Science or job related field and up to 1 year of related experience a plus.

?  Good communication and organizational.

?  Proficient computer skills.

?  Effective phone manner.





IME Coordinator

 

?  Schedules appointments for claimants with Independent Medical Examiners (IME) within 7 calendar days of assignment.

?  Handles an approximate caseload of 80-90 IME files.

?  Ensures IME appointments are scheduled to occur within 21 calendar days of assignment.

?  Coordinates account approved transportation in accordance with departmental policy and procedures.

?  Ensures appointment notification letters are generated accurately and sent timely.

?  Ensures all medical records are complete and appropriate when sent to the IME.

?  Ensures the quality, accuracy and completeness of the IME Preliminary and Formal reports prior to processing these reports and promptly takes action to resolve any discrepancies in order to ensure timeliness.

?  Process all incoming mail the same business day received.

?  Confirms that all parties received all IME notification letters and/or medical records.

?  Processes IME internal prepayment and invoice checks request forms.

?  Communicates contracted IME provider updates/changes and submits IME recruitment requests per departmental policy and procedures to ensure the quality of our contracted IME PPO database.

?  Acts as preceptor for IME Coordinators as directed by Management, if required.

?  Works with the AIMS team to facilitate additional medical necessity issues that arise after the IME assignment and prior to the IME appointment are addressed by the IME provider.

 Qualifications

?  High School Diploma or equivalent and up to 1 year of administrative experience a plus.

?  Health Care related experience preferred, but not required.

?  Excellent communication and organizational skills.

 

Administrative Assistant:

?  Answers and directs incoming calls to appropriate person/department.

?  Performs typing assignments and/or database entry assignments and proofreads to ensure accuracy.

?  Types reports, letter, and other handwritten/dictated reports for case mgr?s mgr?s and marketers.

?  Prepares outgoing mail and correspondence, including e-mail and faxes.

?  Organizes and maintains file system and files correspondence and other records.

?  Retrieves and distributes mail and faxes accurately per departmental protocols.

?  Assists in various administrative projects on an as needed basis for other departments, including proposals, letters, and telephone assistance.

?  Forwards reports to billing and letters to receipt.

?  Performs photocopying as needed.

?  Uses a transcriber and /or typewriter when necessary

?  Maintains accuracy in work as well as meets deadlines and timeframes.

?  Stamps outgoing mail and delivers to the post office at the end of a work day.

?  Performs other administrative duties as assigned.

?  Mail room support as needed

 

 

Qualifications

?  High School Diploma or equivalent plus previous administrative/clerical experience in the healthcare field.

?  Knowledgeable in basic computer skills.

?  Good communication and organizational skills.

 

 

 

Our company offers excellent medical benefits, 401(k) and life insurance as well as a flexible-working schedule. Please visit our website at: www.procura-inc.com for details on our organization as well as other job opportunities.