Workers Comp Authorization Specialist

Responsibilities

• Process and track authorization requests in a timely manner
• Communicate with providers, insurance carriers, and patients regarding authorization status
• Maintain accurate documentation and records
• Resolve Workers Comp authorization issues in collaboration with the medical team
• Ensure compliance with HIPAA and medical coding standards

Requirements

• Minimum 3 years experience in Workers Compensation authorizations (Orthopedics or Pain Management preferred)
• Knowledge of NYS Workers Comp Medical Treatment Guidelines and WCB Medical Portal
• Proficiency in medical terminology and ICD-9 / ICD-10 coding
• Experience with insurance verification and prior authorizations
• Strong attention to detail and data entry accuracy
• Excellent communication and organizational skills

Benefits

• 401(k) matching
• Dental insurance
• Disability insurance
• Health insurance
• Company paid Life insurance and optional voluntary insurance
• Paid time off
• Vision insurance