Workers Compensation Coordinator

Position Title: Workers Compensation Coordinator

Job Status: Full Time

Work Schedule: Monday – Friday 8-5

FLSA Status: Non-exempt

Benefits: Medical, Dental, Vision, 401K (Employer Match), Paid Time Off, Paid Holidays

Compensation Range: $20-23/Hr (Based on Experience)

About Us:

Atlantic Orthopaedics and Sports Medicine, established in 1987, is a leading private, physician-owned healthcare organization specializing in orthopedic care and sports medicine. With a strong commitment to patient care and a track record of excellence, we are expanding our team and seeking a Worker’s Compensation Coordinator. This is a unique opportunity to join a team with extremely low turnover and high job satisfaction.

Our main practice is located in Portsmouth, NH with additional offices in York, ME and Dover, NH (Opening in Jan of 2025).

Position Summary:

We are seeking a dedicated professional to join our esteemed and expanding orthopedic specialty group in the New Hampshire Seacoast area for a long-term employment opportunity. In this role, you will work under the guidance of the Billing Manager to manage all internal worker’s compensation functions and perform related tasks that support these responsibilities.

Working Relations:

Positions reports to: Billing Manager

Internal Relationships: Office Staff, Clinicians

External relationships: Patients, Insurance Company Representatives, Claims Adjusters

Position Requirements:

Licenses or Certificates: Billing/coding certificate or special training a plus.

Education, vocational training, and experience:

• High School diploma or equivalent – associate or bachelor's degree in a business-related field preferred
• Minimum 2 years of experience in a medical administrative support role.
• Intermediate to advanced computer and data entry skills
• Previous experience with worker’s comp intake, claims submission, negotiations and AR is a plus
• Basic coding knowledge including CPT and ICD-10 and Orthopedic specialty experience is a plus

Skills and Abilities:

• Maintain a professional attitude and appearance with excellent telephone communication skills.
• Proficient in Microsoft Word and Excel at an intermediate level.
• Strong mathematical abilities, including working with fractions, decimals, and understanding data relationships to formulate and implement strategies.
• College-level writing proficiency.
• Exceptional critical thinking skills to support efficient and effective accounts receivable (AR) management.
• Highly organized with the ability to prioritize and multitask effectively.
• Prior experience with ModMed is advantageous.
• Must be highly motivated to meet performance goals set by management.
• Successful completion of a pre-screening skills assessment is required.

Job Responsibilities:

The Worker’s Compensation Coordinator’s tasks include, but are not limited to, the following:

• Manage all aspects of the worker’s compensation line of business, including:
• Intake, form completion, and submission
• Prior approval requests for surgeries, diagnostic tests, and office visits
• Telephone communication and negotiations with patients, adjusters, case managers, and other internal and external contacts
• Ensure timely submission of claims, both electronic and paper, and follow up on unpaid claims.
• Answer calls as part of the business office phone queue from patients, insurance companies, referring physician offices, etc.
• Post insurance and patient payments.
• Process refund requests from patients and insurance carriers.
• Participate in educational opportunities to stay updated on job knowledge.
• Perform other departmental duties as assigned by the Manager.

Job Type: Full-time

Pay: $20.00 - $23.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Application Question(s):

• Does the proposed hourly rate of $20-23/HR (based on experience) meet your compensation expectations?

Experience:

• Medical billing: 2 years (Preferred)

Ability to Commute:

• Portsmouth, NH 03801 (Preferred)

Ability to Relocate:

• Portsmouth, NH 03801: Relocate before starting work (Preferred)

Work Location: In person

Salary : $20 - $23