**Job Number** 22149014
**Job Category** Administrative
**Location** Marriott International HQ, 7750 Wisconsin Avenue, Bethesda, Maryland, United States
**Located Remotely?** Y
**Position Type** Management
**Position: Medical Only Specialist**
**Date: August 2022**
**Function/Business Unit: Risk Management**
**Department: Risk Management**
**Occupational Health Services**
**Reports to: Red**
**Regional Manager, OHS**
**Market Reference Point**
**East and West Coast**
The OHS Medical Only Specialist provides Case Management services for Medical Only claims in multiple regions. This position is responsive to Marriott's associates, Marriott Claims Services, Business Units, and Community Health Resources.
+ Provides Case Management services for non-complicated Medical Only claims in multiple regions.
+ Participates in Triage program oversight of claims.
+ Supports Regional Manager,UNM,and NCM team as request ed.
Case Manager of non-complicated Medical Only claims
+ Maintain four-point contact on all assigned claims.
+ Obtain work status and medical reports.
+ Enter treatment requests and physician referrals into the medical authorization screen in iVOS.
+ Schedule physician,diagnostics, and therapy appointments.
+ Arrange for translators and transportation per regional guidelines.
+ Confirm injured worker attendance for appointments.
+ Confirm timely delivery of DME.
+ Request pharmacy benefit cards and confirm receipt and compliance with PBM.
+ Document all activity in iVOS.
+ Closes claim appropriately (Medical care ceases, claim deni ed,attorney representation).
+ TransfersclaimtoNurseCareManagerappropriately(Lost-time,specialistreferral,treatmentexceeds35days, attorneyrepresentation).
+ Understands limitations and refers to nurse for guidance as appropriate.Nurse Care Manager Triage assistance
+ Follows Triage diaries weekly for ninety days.
+ Removes from diary appropriately (Full duty or discharge from care, claim denied, etc.).
+ Alerts NCM of compensable claims appropriately (Become lost time,specialist referral, treatment exceeds ninety days,attorney representation).
+ Understands limitations and refers to nurse for guidance as appropriate.Administrative Assistance
+ Assist Regional Manager of OHS, NCMs,and UNMs as assigned.
+ Participates in committee work as assigned.
+ Assist in organizing meetings, webinars, and conference calls.
+ Uses all internal computer programs as well as Microsoft Office Suite proficiently.
+ Continuing Self Education through Marriott on-line courses and other educational resources.
+ Must have at least three years administrative experience
+ Medical terminology and claims office experience desired but not required
+ Spanish as a second language desired but not required
**Knowledge and Skills**
+ Strong computer skills including mastery of Microsoft Office Suite
+ Strong organization skills
+ Ability to prioritize work
+ Ability to meet deadlines and follow up in a timely manner
+ Ability to remain detailed oriented while working on routine and repeatable processes
+ Good communication skills (verbal,listening, writing)
+ Basic knowledge of claims process
+ Ability to work well in a team,providing assistance to fellow associates and representing the mission of the unit
+ Possess a willingness to accept and respond to constructive criticism.
+ Present oneself with a positive, professional demeanor.
+ Communicate often with supervisor keeping him/her informed
**Education or Certification**
+ Must have Associate degree or equivalent work experience.
This position requires proof of full vaccination against COVID-19 prior to the first date of employment, subject to applicable law. If you are offered employment, this requirement must be met by your date of hire, unless a reasonable accommodation request is received and approved.
_Marriott International is an equal opportunity employer. We believe in hiring a diverse workforce and sustaining an inclusive, people-first culture. We are committed to non-discrimination on any protected basis, such as disability and veteran status, or any other basis covered under applicable law._
Marriott International is the world's largest hotel company, with more brands, more hotels and more opportunities for associates to grow and succeed. We believe a great career is a journey of discovery and exploration. So, we ask, where will your journey take you?
- Attention To Detail
- Case Management
- Claim Processing
- Diagnostic Skills