What are the responsibilities and job description for the Worker’s Compensation Representative position at LOUISIANA ORTHOPAEDIC SPECIALISTS LLC?
Description:
ESSENTIAL FUNCTIONS:
- Prepare requests for treatment to be authorized by worker’s compensation carriers, both state and federal claims, via fax, email, and online.
- Correspond with all worker’s compensation adjusters and nurse case managers to ensure we get a response and that it’s in accordance to guidelines.
- Prepare 1010A’s and 1009’s when necessary and justified.
- Keep record of all new patient referrals, patients that do not show up for or cancel their appointments, all requested treatment sent out for approval, and all requested treatment that is denied.
- Operate office equipment, such as voice mail messaging systems, facsimile, scanner, and use work processing, spreadsheet, or other application to prepare reports, invoices, financial statements, letters, case histories, or medical records.
The job holder must demonstrate current competencies for job position.
Requirements:EDUCATION:
High school diploma or GED
EXPERIENCE:
- Minimum two to three years of experience in medical billing. Must be able to communicate effectively with physicians, patients and the public and capable of establishing good working relationships with both internal and external customers.
REQUIREMENTS:
- Medical office experience. Knowledge of workers compensation processes and guidelines.
KNOWLEDGE:
- Knowledge of the physician billing processes, 1010A’s and 1009’s.
- Knowledge of computer systems.
- Advanced computer knowledge, including Window based programs.
SKILLS:
- Skill in customer service and an understanding of LOS’ code of conduct.
- Skill in using computer programs and applications including Microsoft Excel, Microsoft Word and Outlook.
- Skill in establishing good working relationships with both internal and external customers.
ABILITIES:
- Ability to multi task in a fast- paced environment. Must be detailed oriented with strong organizational skills.
- Ability to understand patient demographic information and determine insurance eligibility.
- Ability to work independently and demonstrate the ability to analyze data.
ENVIRONMENTAL/WORKING CONDITIONS:
- Normal office environment.
PHYSICAL/MENTAL DEMANDS:
- Requires sitting and standing associated with a normal office environment. Some bending and stretching required. Manual dexterity using a calculator and computer keyboard.
This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.
