a day in the life of a claims adjuster
TRANSCRIPT
CHECKLIST:
P Contact ClaimantP Contact PhysicianP Contact AttorneyP Contact Discharge PlannerP Contact Field Case Manager P Locate Equipment VendorP Coordinate Delivery of equipment Follow up with Claimant Manage Utilization Follow up with Field Case Manager Order additional supplies Retrieve equipmentP Locate Transportation VendorP Schedule Appointments Confirm/Verify addresses Contact Home Health Agency Coordinate IV medications Schedule, follow up & confirm appointments Communicate with Bill Review .....
CHECKLIST:
P Contact ClaimantP Contact PhysicianP Contact AttorneyP Contact Discharge PlannerP Contact Field Case Manager P Locate Equipment Vendor Coordinate Delivery of equipment Follow up with Claimant Manage Utilization Follow up with Field Case Manager Order additional supplies Retrieve equipment ....
7:00 AM Monday
8:00 AM
I received a new claim...
CHECKLIST:
Contact ClaimantContact PhysicianContact Attorney.....
Just discovered claimant needs transportation...
CHECKLIST:
P Contact ClaimantP Contact PhysicianP Contact AttorneyP Contact Discharge PlannerP Contact Field Case ManagerP Locate Equipment VendorP Coordinate Delivery of equipment Follow up with Claimant Manage Utilization Follow up with Field Case Manager Order additional supplies Retrieve equipment Locate Transportation Vendor Schedule Appointments Confirm/Verify addresses .....
AND Home Health Care...
5:30 PM
HAVE NOT FOLLOWED UP ON ANY OF MY OTHER CLAIMS
TODAY!!
There has to be an easier way....
8:30 AM
CHECKLIST:
P Contact ClaimantP Contact PhysicianP Contact Attorney Contact Discharge Planner Contact Field Case Manager Locate Vendor .....
10:30 AM
8:30 AM
12:30 PM
2:30 PM
4:30 PM
Modern Medical communicates and follow up with Claimant, Physician, Attorney, Discharge Planner, Field Case Manager and Bill Review.
Locate vendor & equipment, coordinate delivery of equipment, manage claimant’s utilization of equipment, order additional supplies if needed and retrieve equipment after use.
Contact transportation provider, schedule, confirm and verify appointments and addresses.
Locate and coordinate home health care, schedule and confirm appointments, coordinate IV medication and monitor patient’s progress.
We work harder to make your job easier, more efficient and cost effective!
A Day in the Life of a Claims Adjuster