What are the responsibilities and job description for the Workers' Compensation Specialist position at OrthoIllinois?
Job Purpose:
The Workers’ Compensation Specialist is responsible for authorizing diagnostic imaging, surgeries, and other workers’ compensation appointments.
Primary Duties and Responsibilities:
- Serves as worker’s compensation patient advocate by ensuring all patient appointments are scheduled timely and that the patients have access to providers when needed
- Schedules independent medical evaluations
- Assists nurse case managers and insurance adjusters by speaking to providers regarding difficult workers’ compensation cases; assists in resolving issues
- Works with clinical staff members to update or modify work status forms and progress notes when workers’ compensation insurance companies request assistance
Competencies:
- Service: We align our actions and decision making with the organization’s guiding platform keeping our patients at the center of all we do.
- Change Agent: We support and contribute to positive change in the organization.
- Communication and Interpersonal Relations: We communicate honestly and with compassion to build connections with our patients and each other.
- Effectiveness: We take ownership of work, doing the right thing for our customer and doing it well.
Organizational Culture:
All OrthoIllinois employees focus on service by putting the mission, vision, and value statements into practice and using the guiding principles of Compassion, Respect, Trust, Integrity, Innovation, Education Fiscal Responsibility, Practice Independence, Accountability, and Empowerment to direct their interactions and decision making. Employees promote and model the service standards to create lasting impressions, extraordinary moments, exceptional on-stage experiences, and meaningful and compassionate connections.
Education and Experience Requirements:
- High school diploma or GED, required
- A minimum of one year of experience in a similar position and/or performing similar tasks
- Basic working knowledge of Microsoft and Google suites
- Advanced working knowledge of EMR systems
Environmental/Working Conditions:
Working environment is in an office/clinic setting.
Physical/Mental Demands:
- Sit, stand, walk, stoop or kneel, crouch or crawl, and climb stairs for long periods of time
- Requires lifting, carrying and/or moving objects in a manner consistent with most office environments (generally, no more than 10 pounds on a frequent basis and 20 pounds on an occasional basis)
- Possess full range of motion in shoulders and arms, including reaching above or below the shoulder
- Finger dexterity; the ability to twist hands/wrists repetitively
- Vision (e.g., depth perception, color vision, strong vision up close), hearing (e.g., high pitch sounds, soft or distant sounds)
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.
