Legal/Worker's Compensation Scheduler

Job Description

Job Description

Center for Bone & Joint Surgery of the Palm Beaches is a multi-location medical practice devoted to the diagnosis and treatment of injuries and diseases of the body's musculoskeletal system. Our locations feature a staff of highly trained orthopedic surgeons, each with a specific area of expertise.

Center for Bone & Joint Surgery of the Palm Beaches offers a team approach to your care and provides a variety of services right on campus designed for your convenience and ensuring an outstanding continuum of care. These include on-site X-ray, on-site MRI, on-site physical therapy, and aquatic therapy.

As Center for Bone & Joint Surgery of the palm Beaches continues to grow, we are looking for a Legal/Worker's Compensation Scheduler . Please see below for the functions and requirements for this position.

ESSENTIAL FUNCTIONS
· Reviews worker’s compensation accounts and forms for accuracy and completeness.
· Takes inbound calls from patients and insurance to set up patient charts, schedule appointments.
· Answers questions and provides information pertaining to well-defined areas, which require interpretation of the policy.
· Responsible for sending documentation and orders for each patient visit to the correct carrier.
· Interacts with claims adjustors to verify patient's work status and scheduled appointments.
· Communicates verbally and in writing regarding the interpretation of local and out-of-state guidelines and policies.
· Maintains all records and reports.
· Responds to telephone calls from internal staff, patients, adjusters, and case managers.
· Obtains authorizations for initial visits, surgeries, and physical therapy.

EDUCATION
· High school diploma/GED or equivalent working knowledge preferred.

EXPERIENCE
· One-year medical billing or medical business office experience in a physician office or hospital environment; OR
· Worker’s Compensation experience is preferred.

REQUIREMENTS
· Excellent verbal and written communication skills.
· Experience working with Microsoft applications including Word. Excel, and Outlook.
· Ability to work productively in a fast-paced environment.
· Ability to learn and retain company policies, state and federal policies, and workflow processes.

KNOWLEDGE
· Knowledge of worker’s compensation and/or healthcare insurance
· Knowledge of billing and related functions and tasks.
· Knowledge of worker’s compensation processes and requirements.
· Knowledge of payer-specific requirements, state and federal regulations.
· Knowledge of physician group operation and clinic policies.

· Knowledge of authorization and verification processes.

SKILLS
· Skill in the billing authorization process.
· Skill in obtaining necessary approvals for worker’s compensation to reduce denials.
· skill in the collection process for worker’s compensation.
· Skill in Microsoft applications, specifically Excel and Access.

At Center for Bone & Joint Surgery, we are dedicated to taking care of you so you can take care of business! Our robust benefits package includes the following:

• Competitive Health & Welfare Benefits

• Monthly $43 stipend to use toward ancillary benefits

• HSA with qualifying HDHP plans with company match

• 401k plan with company match

• Employee Assistance Program that is available 24/7 to provide support

• Paid Time Off

• Paid Holidays

• Monday - Friday

• No weekends

• Mileage reimbursement

• and more...

#CBJ