DMR Support Specialist
Perform a variety of complex administrative tasks to support Disability Management Resources, Department Managers, Professional Staff, Consultants and Vendors. Main responsibilities include working directly with physicians to facilitate file review by tracking, monitoring and prioritizing files. Coordinate the processes for all file referrals to include Independent Medical Exams, Independent File Reviews and Functional Capacity Exams. Manage vendor relationships and coordinate with vendors and consultants to ensure accurate and timely payment of WPP Expense Claims. Manage, process, review, and ensure accuracy of all WPP invoices. Responsibilities also include analysis of data taken from a variety of sources and build reports for management use.
Principal Duties & Responsibilities: (List essential functions of the job and approx. percentage of time spent on each activity; describe what must be accomplished, not how it must be done)
25% Track and monitor files referred for physician review and ensure appropriate prioritization. Identify barriers to the timely completion of files. Take action to re-direct files to appropriate alternative resources as necessary based on knowledge of physician specialties and schedules. Communicate with professional staff and respond to inquiries. Prepare a variety of statistical reports and other information as requested. Prepare monthly, quarterly and yearly reports, drawing data from a variety of sources and software programs from within and outside the department. Provide reports as needed upon request from management.
20% IME, IFR and FCE Support. Coordinate and schedule time sensitive referrals working closely with vendors, analysts, claimants and Nurse Case Manager (NCM). Coordinate vendor services including file copying, mailing, travel, lodging, translator services and accounting for all IME’s, IFR’s, and FCE’s. Monitor and document all phases of referral and provide timely status reports to involved parties. Receive and prioritize incoming correspondence and phone calls. Respond to inquiries regarding status of evaluations and reports. Prioritize activities in order to meet deadlines. Consult with NCM appropriately. Maintain vendor relationships. Maintain confidential department records and files.
20% Pay invoices through a variety of processes. Approve and monitor the payment of WPP invoices that have been set up in Proclaim as expense claims by vendor. Facilitate vendor relationship and ensure guidelines are communicated and invoices are paid accurately and timely. Research, investigate and reconcile Proclaim error codes to resolve payment issues. Communicate with vendors, account managers and professional staff. Reconcile aging reports. Track service level agreements and audit work product. Prepare reports and perform special projects as assigned for WPP Staff.
10% Facilitate records organization for physician review through maintaining vendor relationship and providing guidance to vendors on our processes and procedures. Audit vendor work product and track service level agreements.
15% Provide physician’s with administrative support to include scheduling consults, calendaring, and acting as a technical resource for computer related tasks.
5% Participate in special projects as assigned. Distribute files and track audits for QA and DMR.
Job Specifications: (Include education, experience, special skills and licenses or certifications required)
- Education: Associate’s degree with additional college coursework or Bachelor’s degree desirable but not a requirement.
- Experience: 3 years of advanced administrative experience, including MS Office applications, or the equivalent combination of education and experience.
- Regular attendance is essential for this role.
- Professional certification required: None.