What are the responsibilities and job description for the Worker Compensation Specialist (PRN) position at The Center for Orthopedic and Research E?
Job Description
Job Description
ESSENTIAL FUNCTIONS
Reviews Worker’s Compensation accounts and forms for accuracy and completeness.
Answers questions and provides information pertaining to well-defined areas, which require interpretation of policy.
Responsible for processing 102 forms and mailing copies to the Industrial Commission.
Interacts with claims adjustors to verify patients work status and scheduled appointments.
Communicates verbally and in writing regarding interpretation of local and out of state guidelines and policies.
Maintains all records and reports.
Responds to telephone calls from internal staff, patients, adjustors and case managers.
Obtains authorizations for initial visits, surgeries and physical therapy.
The job holder must demonstrate current competencies for job position
High school diploma / GED or equivalent working knowledge preferred.
EXPERIENCE
- One-year medical billing or medical business office experience in physician office or hospital environment.
KNOWLEDGE
Knowledge of billing and related functions and tasks.
Knowledge of large physician group operation and clinic policies.
Knowledge of Worker’s Compensation processes and requirements.
Knowledge of payer specific requirements, state and federal regulations.
Knowledge of authorization and verification processes.
