Workers Compensation Specialist

About the role

The Call Center Care Coordinator - Workers' Compensation Specialist plays a crucial role in coordinating patient care for injured workers, ensuring accurate and complete documentation, and facilitating communication between various stakeholders.

Responsibilities

• Work effectively in a high-volume, fast-paced, team-oriented environment.
• Navigate and use practice management systems to manage patient care efficiently.
• Communicate with providers, adjusters, case managers, and patients to ensure smooth care coordination.
• Administer administrative reviews of medical records and treatment notes to ensure completeness and compliance.
• Secure and process authorizations for continued care of injured workers.

Requirements

• One year of experience working with Workers' Compensation cases.
• Athena experience is preferred.
• A high school diploma or GED.
• Excellent verbal and written communication skills.
• Proficiency in Microsoft applications such as Word, Excel, and Outlook.
• Ability to work in a fast-paced environment.
• Knowledge of authorization and verification processes, billing authorization, and proficiency in arithmetic calculations.
• Ability to communicate openly and honestly with management and staff.

Qualifications

• Knowledge of worker’s compensation.
• Understanding of physician group operations and clinic policies.
• Experience with authorization and verification processes.
• Skills in the billing authorization process.
• Ability to reduce denials through proficient use of these processes.
• Ability to communicate openly and honestly with management and staff.