Overview
Join our dynamic team as a Workers' Compensation Coordinator and play a vital role in managing and streamlining workers' compensation processes. This essential position requires a detail-oriented professional who thrives in a fast-paced environment, ensuring accurate handling of medical documentation, insurance verification, and care coordination. As a key liaison between medical providers, insurance carriers, and internal departments, you will help facilitate efficient claims management and support injured employees through their recovery journey. Your organizational skills and knowledge of workers' compensation law will drive smooth operations and positive outcomes for all stakeholders.
Responsibilities
- Coordinate the intake and review of medical documentation related to workers' compensation claims, ensuring completeness and accuracy.
- Verify insurance coverage, including Medicare and Medicaid, to confirm eligibility and facilitate proper billing procedures.
- Maintain meticulous documentation ensuring required authorizations are obtained prior to services being rendered and they are accessible for easy retrieval and compliance with legal standards.
- Collaborate with healthcare providers to interpret medical coding to ensure accurate billing and record keeping.
- Assist in the reconciliation of worker's compensation payments against billed amounts for accuracy using EHR; resolve discrepancies promptly.
- Support the claims process by verifying medical records against insurance requirements, facilitating timely payments, and maintaining detailed logs of all activities.
Skills
- Proven clerical experience with strong medical record management, and organizational skills; in addition to obtain prior authorizations and care coordination.
- Knowledge of medical terminology and medical documentation standards.
- Experience with insurance verification processes for Medicare, Medicaid, and private insurers.
- Familiarity with medical billing procedures and financial software used in healthcare settings such a Athena, eClinicalWorks, or similar.
- Ability to interpret complex medical records accurately and communicate effectively with healthcare providers and insurance representatives.
- Strong attention to detail with excellent organizational skills to manage multiple claims efficiently.
- Proficiency in using electronic health records (EHR) systems and other relevant software tools.
Join us to make a meaningful difference in the lives of injured employees by ensuring seamless claims management through your expertise!
Job Requirements:
- High school graduate or equivalent.
- At least two years of front office experience in a medical office with experience using an EMR system.
- Proficient with Microsoft Office Suite (e.g., Word, Excel, Outlook)
Administrative Duties:
- Scheduling
- Data entry
- Answering and routing phone calls
Setting:
Compensation:
Benefits:
- Health insurance
- Dental insurance
- Vision insurance
- Retirement plan
- Paid time off
Pay: From $20.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
Work Location: In person
