Legal/Worker's Compensation Scheduler

About the role

Center for Bone & Joint Surgery of the Palm Beaches is a multi-location medical practice devoted to the diagnosis and treatment of injuries and diseases of the body's musculoskeletal system. Our locations feature a staff of highly trained orthopedic surgeons, each with a specific area of expertise. Center for Bone & Joint Surgery of the Palm Beaches offers a team approach to your care and provides a variety of services right on campus designed for your convenience and ensuring an outstanding continuum of care. These include on-site X-ray, on-site MRI, on-site physical therapy, and aquatic therapy. As Center for Bone & Joint Surgery of the Palm Beaches continues to grow, we are looking for a Legal/Worker's Compensation Scheduler.

Essential Functions

• Reviews worker's compensation accounts and forms for accuracy and completeness.
• Takes inbound calls from patients and insurance to set up patient charts, schedule appointments.
• Answers questions and provides information pertaining to well-defined areas, which require interpretation of the policy.
• Responsible for sending documentation and orders for each patient visit to the correct carrier.
• Interacts with claims adjustors to verify patient's work status and scheduled appointments.
• Communicates verbally and in writing regarding the interpretation of local and out-of-state guidelines and policies.
• Maintains all records and reports.
• Responds to telephone calls from internal staff, patients, adjusters, and case managers.
• Obtains authorizations for initial visits, surgeries, and physical therapy.

Education

• High school diploma/GED or equivalent working knowledge preferred.

Experience

• One-year medical billing or medical business office experience in a physician office or hospital environment; OR Worker's Compensation experience is preferred.

Requirements

• Excellent verbal and written communication skills.
• Experience working with Microsoft applications including Word, Excel, and Outlook.
• Ability to work productively in a fast-paced environment.
• Ability to learn and retain company policies, state and federal policies, and workflow processes.

Knowledge

• Knowledge of worker's compensation and/or healthcare insurance.
• Knowledge of billing and related functions and tasks.
• Knowledge of worker's compensation processes and requirements.
• Knowledge of payer-specific requirements, state and federal regulations.
• Knowledge of physician group operation and clinic policies.
• Knowledge of authorization and verification processes.

Skills

• Skill in the billing authorization process.
• Skill in obtaining necessary approvals for worker's compensation to reduce denials.
• Skill in the collection process for worker's compensation.
• Skill in Microsoft applications, specifically Excel and Access.

Benefits

• Competitive Health & Welfare Benefits
• Monthly $43 stipend to use toward ancillary benefits
• HSA with qualifying HDHP plans with company match
• 401k plan with company match
• Employee Assistance Program that is available 24/7 to provide support
• Paid Time Off
• Paid Holidays
• Monday - Friday No weekends
• Mileage reimbursement and more...