Workers Compensation Representative

Position Summary:

Responsible for the coordination of referrals and authorizations from the insurance carrier, case management and/or employer in accordance with the company and state requirements while exhibiting excellent customer service.

Qualifications:

• High School Diploma or General Education Degree (GED).
• Required 2+ years Florida and Federal Worker’s Compensation experience.
• Excellent customer service and communication skills.
• Working Knowledge of medical terminology and human anatomy.
• Must be detail oriented, handle multiple inquiries at a time, resourceful and a self-starter.
• Adapt in a fast-paced working and team environment.

Key Responsibilities:

• Register and update patient demographics and insurance information in the system.
• Schedule appointments according to the approved treatment and provider protocols.
• Obtain written authorization and required documentation for service(s) from the insurance carrier, case manager and/or employer.
• Ensure updated authorization is documented in the system.
• Communicate with the patient advising of the scheduled appointment(s).
• Handle incoming calls and triage to the respective departments as needed.
• Send required documentation to the carrier and/or case management as instructed.
• Reschedule bumped appointment(s) and notify the patient and carrier of the schedule change.
• Conduct a quality check on the internal document(s) prior to sending to the carrier and/or case management.
• Serves as an internal escalation point of contact for other departments as needed.
• Identify improvement opportunities and provide solutions to management.
• Address internal and external email and fax correspondence as instructed.
• Ability to meet productivity and accuracy standards
• Collaborate with the various departments to improve the customer experience
• Ensure compliance with all company policies and procedures

All other duties as assigned

What we offer:

• Full time opportunities available, with room for career growth and advancement.
• Excellent job security and stability, to promote an optimal work life balance.
• Be part of this dynamic and growing high level Work Comp team!

Orthopaedic Solutions Management is a Drug Free Workplace

We are committed to maintaining a safe, healthy, and productive work environment. As part of this commitment, we operate as a drug-free workplace. All candidates will be required to undergo pre-employment drug screening and/or be subject to random drug testing in accordance with applicable laws and company policy.

Equal Opportunity Employer


This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.