Workers' Compensation Specialist

About the role

Semmes Murphey Clinic's mission is to deliver the best care for people suffering from neurological illness while advancing the field of neuroscience. The Workers’ Compensation Specialist will work with other members of Semmes Murphey Clinic to provide patient services and is expected to participate in the appropriate team activities with the objective of providing a high standard of patient and clinical service.

Responsibilities

• Obtain necessary intake information, authorization for initial evaluations and follow‑up visits; precertification of diagnostic and radiographic tests, surgeries and other procedures.
• Communicate with insurance carrier claim adjusters and nurse case managers via telephone, email and fax.
• Act as a liaison between the clinical staff and the workers’ compensation claims adjuster/nurse case manager.
• Communicate and work closely with insurance and billing, nursing and physician staff.
• Maintain patient account information by obtaining, recording and updating medical treatment clearance.
• Maintain confidentiality; adhere to all HIPAA guidelines/regulations.

Requirements

• High school diploma or equivalent.
• One (1) year relevant work experience that includes precertification in workers’ compensation.
• General knowledge of Workers’ Compensation and HIPAA regulations.

Skills

• Proficient in Microsoft Office (Excel, Outlook, Word).
• Effective communication, both oral and written.
• Excellent organizational skills with attention to detail.
• Proficient knowledge of insurance requirements and medical/clinical terminology.
• Knowledge of internet software and electronic medical records (EMR).
• Ability to provide excellent customer service during difficult or emotional situations.
• Ability to manage workflow and prioritize demands.

Schedule

Full‑time, onsite position with hours of 8:00 am to 4:30 pm, Monday to Friday.