Early Dispute Resolution Specialist

Description

A Little Bit About Us

If you're looking for a rewarding career at a company with a supportive workplace culture and unlimited potential for growth, consider Gemini Legal. We are a dynamic, industry-leading, technology-based company headquartered in Rocklin, California. Gemini provides support services to California attorneys, collecting digital records and offering vocational counseling to injured workers.

Our management team has an open-door policy, and our exceptional growth is credited solely to our team members and their dedication to collaborate, achieve and give back. Success is celebrated and integrity is the essence of who we are. We promote from within and are eager to train people with no previous experience.

Ethical. Passionate. Smart. These three tenets drive our diverse team, and we welcome dedicated individuals to apply to join our work family.

A Little Bit About the Position

Are you ready to make a direct impact in workers' compensation billing? As an EDR Specialist on our Economic Cycle team, you’ll be responsible for ensuring prompt payment through accurate billing, resolving discrepancies, and addressing objections. Your role will involve issuing compliant invoices, engaging with carriers, and ensuring full compliance with HIPAA and regulatory standards. You’ll also stay updated on California workers' compensation laws and collaborate with key stakeholders to efficiently process claims.

This is a dynamic opportunity to manage multiple claims, support clients, and contribute to the success of a high-performing team. If you're a detail-oriented professional eager to grow in a fast-paced, compliance-driven environment, we invite you to apply and join us in this rewarding role.

Candidates for this role may be considered for either a Specialist I or Specialist II designation, based on their relevant experience and qualifications.

Location: Rocklin or West Covina, CA

Specialist I :

• High School diploma or equivalent is required
• 1-3 years of experience in the workers’ compensation field required
• Compensation: $19.23-$25.96/hour

Specialist II :

• High School diploma or equivalent required
• 3+ years of experience in the workers’ compensation field required
• Compensation: $21.63-$28.37/hour

Requirements

• High School diploma or equivalent is required
• 1+ years of experience in the workers compensation field, especially with a focus on workers' compensation copy service billing, strongly preferred
• Experience using medical billing software and electronic health record (EHR) systems is a plus
• Excellent written communication skills, including proof-reading, syntax, and grammar
• Typing speed of at least 35 WPM with 90% accuracy
• Problem solving skills
• Keen attention to detail
• Ability to work both independently and as part of a team
• General computation skills, including the use of a calculator
• Ability to learn new tasks within Litigation Support and Accounts Receivable as needed
• Proficiency in workers’ compensation terminology and copy service workers' compensation billing codes
• Familiarity with insurance and legal terminology related to workers' compensation claims
• Knowledge of California's workers' compensation system, including its rules, regulations, and fee schedules
• Understanding of the necessary documentation and paperwork required for workers' compensation billing
• Proficient using a computer, business phone, office software, video conferencing, and other computer programs including Google Workplace (Docs, Sheets, Calendar, Gmail, etc.), Microsoft applications, EAMS, Daisy Bill, and MerusCase
• Experience with project management software such as Asana preferred
• Familiarity with spreadsheet and database software for data entry, tracking, and managing billing and objection data

FUNCTIONAL REQUIREMENTS

Must be able to perform the essential functions of the position with or without accommodation, including, but not limited to:

• Sitting for at least one hour at a time (total: 4-6 hours/day)
• Keyboarding for extended periods of time (total: 4-6 hours/day)
• Using a phone with or without a headset for extended periods (total: 3-5 hours/day)

What You'll Love About Gemini

• Experience a unique company culture driven by shared values and a strong sense of community
• Enjoy comprehensive health coverage, including medical, dental, vision, hospital indemnity, life, disability, and accident insurance
• Generous PTO starting with 80 hours per year, along with 40 hours of community volunteer time, 12.5 observed holidays, and 48 hours of sick time
• Support your financial future with a 401(k) plan that receives a company match
• Expand your horizons with our education tuition reimbursement program, and ongoing leadership and career development opportunities
• Receive support for all of life's situations through our Employee Assistance Program (EAP) and legal assistance benefit
• Be recognized for your hard work and show your gratitude for others through our employee recognition program, which includes gifts and awards
• G.I.V.E. back to the community with our company-paid annual donation to a non-profit or charity of your choice
• Emphasis on work-life balance, offering flexible work locations and schedules whenever possible