Assignment
Running Topic: CRITICAL THINKING PAPER
Write 3 to 4 pages excluding the cover sheet and reference sheet.
• Does money motivate employees? Why or Why not?
• Why should compensation systems be equitable? How can an organization design an equitable compensation system?
• Compare and contrast the four job evaluation methods. Give an example of an organization in which each of the four methods might provide an optimal strategic fit.
• Discuss the pros and cons of employee pay being fixed versus variable and dependent on performance. How might such decisions impact recruiting, motivation, and retention?
• Analyze your current job responsibilities. Determine whether the method by which you are compensated appropriate.
• Is performance-based pay effective? Why or why not? How can performance-based pay systems be better designed to ensure optimal results?
• What are the advantages and disadvantages of organizational policies that mandate pay secrecy? Consider this question from the perspective of managers, employees, and owners. Is pay secrecy a good practice?
• What obstacles exist to developing pay-for-performance plans in the public sector? How can these obstacles best be overcome? Do public sector pay-for-performance plans differ from those found in the private sector?
My job is a Medical Claims Examiner
I work as a Contractor: my pay is $16.00 an hour in Illinois.
Medical Claims Specialist Examiner Job Duties:
o Determines covered medical insurance losses by studying provisions of policy or certificate.
o Establishes proof of loss by studying medical documentation; assembling additional information as required from outside sources, including claimant, physician, employer, hospital, and other insurance companies; initiating or conducting investigation of questionable claims.
o Documents medical claims actions by completing forms, reports, logs, and records.
o Resolves medical claims by approving or denying documentation; calculating benefit due; initiating payment or composing denial letter.
o Ensures legal compliance by following company policies, procedures, guidelines, as well as state and federal insurance regulations.
o Maintains quality customer services by following customer service practices; responding to customer inquiries.
o Provides legal support by assembling documentation for settlement action.
o Protects operations by keeping claims information confidential.
o Prepares reports by collecting, analyzing, and summarizing information.
o Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations.
o Accomplishes organization goals by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.
Medical Claims Specialist Examiner Skills and Qualifications:
Claims Adjustment, Financial Software, Documentation Skills, Data Entry Skills, Analyzing Information , Problem Solving, Verbal Communication, Customer Focus, FDA Health Regulations, General Math Skills, Statistical Analysis
Format your assignment according to the give formatting requirements:
• The answer must be using Times New Roman font (size 12), double spaced, typed, with one-inch margins on all sides.
• The response also includes a cover page containing the student's name, the title of the assignment, the course title, and the date. The cover page is not included in the required page length.
• Also include a reference page. The references and Citations should follow APA format. The reference page is not included in the required page length.