Department of Labor
This position is located in the Department of Labor (DOL), Office of Workers' Compensation Programs (OWCP), Division of Energy Employees' Occupational Illness Compensation (DEEOIC). The mission of DEEOIC is to administer the benefits; provision of the Energy Employees Occupational Illness Compensation Program Act.
- Duties include but are not limited to the following: - Gather, identify, and analyze clear-cut medical evidence with or subsequent to the initial home health care claim or authorization request and provides information to senior team members to develop appropriate actions.- Contact stakeholders (e.g., claimants, representatives, medical officials, etc.) to obtain corrected or supplementation documentation to support the claim/request (e.g., home health care, durable medical equipment, travel, etc.) and to resolve conventional issues.- Assist senior examiners or team leader in the development of questions for physicians in cases that involve the need for supplemental medical information, resolution of conflicting medical documentation, or medical authorization requests.- Conduct fact-finding for routine and less complex cases to review clear-cut evidence submitted in support of an initial home health care claim or other medical authorization requests.- Apply knowledge of DEEOIC laws, regulations, and policies to assigned claims selected for training and developmental purposes.
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