Workers Compensation Specialist

DESCRIPTION

Job Summary: We are seeking an experienced Workers' Compensation Specialist to work in our Alliance location. The Workers' Compensation Specialist is the liaison between the patient, insurance carrier, and physician and works in a fast-paced position.

Onsite role

Key Functions:

• Obtains complete and accurate patient and injury information before scheduling appointments. Creates and maintains a Medical Chart on all workers comp patients.

• Verifies work related injury information with proper employer personnel.

• Verifies eligibility of injury and insurance benefits with insurance carrier representative.

• Translates between provider and patient as needed.

• Obtains correct insurance carrier billing address and claim number if assigned.

• Ensures proper documentation is attached to billing claims before submission or re- submission of the claims.

• Enters complete and accurate demographics into the billing system to ensure proper billing before the patient's first visit.

• Obtains pre-certifications and authorizations for treatment on a daily basis.

• Ensures completion of all TWCC required forms.

• Performs various collection activities to ensure payment is received and posted for each account. Contacts carriers, patients, or employers as needed to obtain/provide account information.

• Interprets appointment request and schedules patient appointment based on clinic policies. Identifies any problems with making the appointment and advises Physician and/or Manager.

• Checks answering service & reminder call email each morning for patient messages.

• Obtains patient's demographic information, insurance policy and medical issue.

• Informs patient about new patient and payment policies & referrals.

• Verifies insurance for same day add-on appointments.

• Relays relevant information to the Clinic Front Desk, Medical Records and appropriate internal staff when adding or changing an appointment.

• Provides any special needs of the patient to the Physician.

• Answers telephone, screens calls, takes messages, transfers calls to the appropriate area and provides information to keep the patient and clinic staff fully advised regarding appointments scheduled.

• Answers questions regarding patient appointments as requested.

• Makes necessary patient and/or policyholder information corrections in the Appointment System as necessary and advises the Patient and Billing.

• Safeguards patient information and ensures all information remains confidential.

• Request assistance from the Biller or Collectors for difficult account billing questions.

• Participates in office meetings and educational activities.

• Maintains work area in neat and orderly manner.

#AO

Requirements

• High School Diploma or GED, required .

• Must have Worker's Comp experience in a clinical setting-Strongly Preferred

• Referral Intake experience in an ortho setting preferred.

• Graduate of accredited program in Medical Administration, preferred.

• Knowledge of TWCC rulings and forms strongly preferred.

• Ability to read, understand and master policies and regulations.

• Ability to use patient management systems and computer software (e.g., patient billing & collecting system, electronic medical record system, word processing).

• Ability to interact and communicate well with patients, staff, and vendors.

REQUIREMENTS

Worker's Comp experience and EPIC experience is a PLUS!!!

Company: All-Star Orthopaedics

Job Type: Full-time

Address: 3124 N Tarrant Pkwy, Fort Worth, TX, 76177