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Review Vacancy

Date Posted 01/28/16

Applications Due02/12/16

Vacancy ID27306

AgencyInsurance Fund, State

TitleMedical Care Representative

Occupational CategoryHealth Care, Human/Social Services

Salary Grade19

Bargaining UnitPS&T - Professional, Scientific, and Technical (PEF)

Salary RangeFrom $55126 to $70013 Annually

Employment Type Full-Time

Appointment Type Permanent

Jurisdictional Class Competitive Class

Travel Percentage 20%

Workweek Mon-Fri

Hours Per Week 37.50

Workday

From 9 AM

To 5 PM

Flextime allowed? No

Mandatory overtime? No

Compressed workweek allowed? No

Telecommuting allowed? No

County New York

Street Address 199 Church Street

City New York

StateNY

Zip Code10007

Minimum Qualifications Reachable on current open competitive Civil Service list for this title, or one year of permanent competitive class service as a Medical Care Representative.

Duties Description The primary responsibilities of the Medical Care Representative (MCR) are conducted in an office setting. Medical Care Representatives act as a medical resource for assigned claims teams with evaluation of medical information and recommendations for treatment or services to provide cost effective resolution. MCR's are the resource for approx. 10-12 case managers. They are resources for NYSIF bill payers and hearing representatives. MCR's work with outside vendors to assure appropriate and cost effective services provided to claimants. They evaluate and monitor claimant's care provided in acute, sub-acute and rehabilitation facilities; monitor home and vehicle modifications for catastrophic claims within their assigned claims team to control costs; audit and reimburse inpatient, ambulatory surgery, surgical and other complex medical bills for their assigned claims teams to assure appropriate reimbursement. MCR's communicate with the Worker's Compensation Board Rehab Bureau and coordinate all defenses with qualified vocational experts.

Additional Comments This position is eligible for an additional geographical pay differential of $5,579.

Some positions may require additional credentials or a background check to verify your identity.

Name Dale Losee

Telephone

Fax 518-437-1618

Email Address hr@nysif.com

Address

Street 15 Computer Drive West

City Albany

State NY

Zip Code 12205

 

Notes on ApplyingPlease include the position title and vacancy id number on your cover letter. Candidates should mail a resume and cover letter to 15 Computer Drive West, Albany, NY 12205 or fax to 518-437-1618. Resumes may also be e-mailed to hr@nysif.com.

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