Workers Compensation Specialist

The position is located in the medical clinic and reports directly to the Business Office Supervisor, Director of Operations, and/or Physician for all matters, including job duties, performance evaluations, approval of leave, and for other assignments as deemed necessary for the benefit of the Baton Rouge Orthopaedic Clinic (BROC). Duties: Verifies and obtains approval from employer/carrier for new worker’s comp cases. Enters all new worker’s comp cases into Centricity, sets-up billing for each worker’s comp patient, and assists in the collection of worker’s comp payments. Reviews, verifies, and transmits work status and other reports on all worker’s comp appointments. Coordinates and schedules worker’s comp patient appointments. Coordinates and schedules rehab conferences. Receives requests for physicians to complete forms, mails corresponding letter requesting payment for completion of forms, and delivers forms to physicians for completion after receiving payment. Logs date that forms are given to physicians in log-book and tracks until completed. Oversees daily mailing of worker’s comp surgery medical records and HCFA forms and mails any outstanding worker’s comp surgery medical records and HCFA forms. Responds to any worker’s comp medical records requests from worker’s comp carriers and/or employers in a timely manner. Obtains job descriptions and return to work alternatives for all worker’s comp patients and delivers them to the treating physician. Builds and maintains relationships with worker’s comp carriers, occupational medicine clinics, and referring providers. Acts as a liaison between the employer, worker’s comp carrier, and physician. Obtains pre-certs for all worker’s comp appointments, testing, and surgeries and maintains and manages the worker’s comp pre-cert list on a daily basis. Represents BROC at worker’s comp related events and meetings. Performs other related duties as assigned and serves in whatever other capacity deemed necessary for successful completion of the mission and goals of BROC. #J-18808-Ljbffr