The Judge Group

Job Summary and Qualifications: This position is responsible for the initial screening, evaluation, some on-line error and entry correction of workers' compensation medical bills. When information needed to process the medical bill is incomplete, this position is responsible for telephoning the appropriate party to collect the relevant information. The position will handle calls from medical providers and internal and external customers regarding the status of the bill or the amount of reimbursement. Responsibilities: Reviews all medical bills brought to his/her attention for the application of cost containment measures. This is to be completed according to the jurisdictional requirements of the workers compensation law and involved both medical bill cost containment and utilization review for three (3) jurisdictions. Screens and evaluates bills for provider services. This includes: determining if all billing information is complete and correct; obtaining by telephone follow-up, and evaluating any missing information in order to process the bill; applying all relevant guidelines that pertain to the evaluation of reported services; obtaining technical assistance for highly specialized non-routine decisions, as warranted; and maintaining and applying a current knowledge of those aspects of workers' compensation laws and regulations that affect medical bill processing. May key claim data into the medical repricing system and produces and Explanation of Reimbursement (EOR); the system prices the claim based on reported medical procedures diagnosis and location of provider. For some claims, manual processing is required by using simple tables and lists. The incumbent is responsible for verifying data for accuracy of entry and reasonableness of results, and printing EOR for each claim. The incumbent must select multiple possible statements to appear on the EOR. Responds to telephone inquiries from providers, internal and external claimants and customers, as needed. The incumbent answers questions as to why reimbursement was made at a particular level (level of reimbursement made by the system). Qualifications: High School diploma or equivalent required Minimum of 3 years of experience in workers compensation claims processing. In-depth knowledge of utilization review and its various applications and Pa. W.C. Bureau's Utilization Review process required. Excellent procedure code knowledge, medical cost containment knowledge, good data entry skills and the ability to apply pertinent policies in evaluating and handling medical bills and cost containment at all levels of complexity. The incumbent must be courteous in dealing with various parties via telephone, and must in addition be able to instruct others in medical cost contain

Administrative Assistant / Executive Assistant Private Concierge Medical Practice Primary Support to World Renowned Physician About the Role We are looking for a highly skilled Administrative Assistant / Executive Assistant to support a world renowned physician leading an elite concierge medical practice. This environment is fast paced, complex, and service driven, supporting a clientele with exceptional expectations for discretion, responsiveness, and professionalism. This role requires someone who excels in ambiguity, anticipates needs proactively, and operates with exceptional emotional intelligence. You will work closely with a visionary, high performing physician with a deep commitment to patient care. For the right candidate, this position offers significant professional growth and long term career value. Responsibilities Executive & Physician Support Serve as the primary administrative partner to the Physician, managing daily operations and priorities Oversee a highly dynamic calendar, including medical appointments, travel, personal commitments, and urgent client needs Anticipate preferences, identify patterns, and resolve issues independently Maintain strict confidentiality across all patient, client, and business matters Practice & Client Operations Coordinate patient scheduling, follow ups, and concierge level requests with urgency and discretion Collaborate with internal and external partners, including medical specialists, personal staff, family offices, and vendors Maintain organized systems for records, communications, and workflows Office & Practice Management Oversee daily administrative operations to ensure seamless practice function Manage vendors, supplies, and special projects Identify inefficiencies and implement improvements proactively Handle sensitive matters with maturity, discretion, and emotional intelligence Qualifications 5+ years of experience as an Executive Assistant, Personal Assistant, or senior administrative professional Experience supporting a physician, executive, entrepreneur, or high profile individual preferred Background in concierge medicine, private practice, luxury services, or UHNW environments strongly preferred Exceptional organizational, time management, and problem solving skills Strong written and verbal communication abilities High proficiency with scheduling tools, email platforms, and Microsoft Office or equivalent Demonstrated integrity and absolute discretion

Administrative Assistant / Executive Assistant Private Concierge Medical Practice Primary Support to World Renowned Physician About the Role We are looking for a highly skilled Administrative Assistant / Executive Assistant to support a world renowned physician leading an elite concierge medical practice. This environment is fast paced, complex, and service driven, supporting a clientele with exceptional expectations for discretion, responsiveness, and professionalism. This role requires someone who excels in ambiguity, anticipates needs proactively, and operates with exceptional emotional intelligence. You will work closely with a visionary, high performing physician with a deep commitment to patient care. For the right candidate, this position offers significant professional growth and long term career value. Responsibilities Executive & Physician Support Serve as the primary administrative partner to the Physician, managing daily operations and priorities Oversee a highly dynamic calendar, including medical appointments, travel, personal commitments, and urgent client needs Anticipate preferences, identify patterns, and resolve issues independently Maintain strict confidentiality across all patient, client, and business matters Practice & Client Operations Coordinate patient scheduling, follow ups, and concierge level requests with urgency and discretion Collaborate with internal and external partners, including medical specialists, personal staff, family offices, and vendors Maintain organized systems for records, communications, and workflows Office & Practice Management Oversee daily administrative operations to ensure seamless practice function Manage vendors, supplies, and special projects Identify inefficiencies and implement improvements proactively Handle sensitive matters with maturity, discretion, and emotional intelligence Qualifications 5+ years of experience as an Executive Assistant, Personal Assistant, or senior administrative professional Experience supporting a physician, executive, entrepreneur, or high profile individual preferred Background in concierge medicine, private practice, luxury services, or UHNW environments strongly preferred Exceptional organizational, time management, and problem solving skills Strong written and verbal communication abilities High proficiency with scheduling tools, email platforms, and Microsoft Office or equivalent Demonstrated integrity and absolute discretion