Workers Compensation Specialist

Job Description

Job Description

Description:

JOB OVERVIEW:

The Worker’s Compensation Specialist is responsible for responding timely and providing administrative support to nurse case managers, adjusters and The Orthopaedic Institute clinic staff.

ESSENTIAL FUNCTIONS INCLUDE, BUT ARE NOT LIMITED TO:

• Schedule new work comp injury appointments in coordination with adjusters, nurse case managers or employers.
• Complete surgery authorization forms, testing authorization and obtain pre-cert forms from adjusters and case managers.
• Proactively communication with clinic staff for scheduling of patients, obtaining patient demographics and verifying physician orders.
• Follow up on any surgery, testing or DME for pending authorizations.
• Other duties as assigned.

QUALIFICATIONS/LICENSE:

None

EDUCATION:

High School graduate or equivalent

EXPERIENCE:

Previous experience with worker’s compensation programs preferred but not required.

SKILLS:

• Basic computer skills and knowledge of Microsoft office.
• Excellent communication skills, both verbal and written.
• Detail oriented
• Ability to multi-task, manage details and organize efficiently and effectively.

PHYSICAL REQUIREMENTS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.

• Specific vision requirements include the ability to see at close range, distance vision, peripheral vision, depth perception, and the ability to adjust focus.
• While performing the duties of this job, the employee is regularly required to talk and hear.
• Possess the ability to fulfill any office activities normally expected in an office setting, to include, but not limited to: remaining seated for periods of time to perform computer based work, participating in filing activity, lifting and carrying office supplies (paper reams, mail, etc.)
• Frequently required to stand, walk, sit, use hands to feel, and reach with hand and arms
• Occasionally lift and/or move up to 20-25 pounds.
• Fine hand manipulation (keyboarding).
• Travel may be required to existing or new TOI locations.