Workers Compensation Specialist

6 days ago


Birmingham, United States American Family Care Full time
Job DescriptionJob Description
Summary

Responsible for the accurate and timely filing of invoices to the employers and/or Third Party Administrators for Workers Compensation services rendered. When necessary, contacting those responsible for payment on outstanding balances.

Essential Duties and Responsibilities

  • Review workers compensation accounts, ensuring correct Registration of patients.
  • Review workers compensation accounts, ensuring accuracy of employer information.
  • Request set-up or updates to employer information when necessary.
  • Ensure correct billing address on all workers compensation claims.
  • Review workers compensation accounts, ensuring that all necessary documentation is present for billing, e.g. First Report of Injury, work comp claim number.
  • Generate, edit and mail all Workers Compensation claims, ensuring correctness of invoice to the correct payor.
  • Assist Customer Service/Employers/Third Party Administrators with questions concerning Workers Compensation accounts/claims.
  • Assist Payment Posting with correct posting of payments when necessary.
  • Assist Clinics when questions arise concerning Workers Compensation visits.
  • Contact Employer/Payor on outstanding A.R. balances when not paid.
  • Ensure that month end goals are met in a timely manner.
  • Observe safety and security procedures; promote a safe and pleasant work environment.

Other Duties and Responsibilities

  • Other duties and responsibilities as assigned.
  • Regular predictable attendance is essential.
  • Assist in handling overflow customer service calls by providing courteous and accurate resolution of customer questions and concerns.

Qualifications

High school graduate or equivalent. Proven ability to work in a team environment. Articulate communication skills and excellent customer service skills. Computer knowledge, e.g., Microsoft Office. Accuracy and detail orientation with high level of productivity. Familiarity with ICD-9, and CPT coding, as well as experience reviewing and understanding insurance EOBs is preferred.


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