Workers Compensation Claims Specialist
4 weeks ago
Job Title: Workers Compensation Claims Specialist
Job Summary: We are seeking a highly skilled Workers Compensation Claims Specialist to join our team at North Texas Orthopedics and Spine Center. The ideal candidate will have a strong background in customer service, work comp related experience, and excellent communication skills.
Key Responsibilities:
- Respond to telephone inquiries relating to the medical practice's policies and procedures.
- Making new patient appointments for Workers Comp patients and new patients to the practice.
- Fill out intake form for Workers Comp.
- Call adjuster to get authorization for the clinic to treat the patient.
- Call patient back and make appointment.
- Making sure we get correct or updated information on the patient.
- Responds to patient inquiries, assistance on which department to speak with etc.
- Reading Comprehension — Understanding written sentences and paragraphs in work related documents.
- Active Listening — Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
- Speaking — Talking to others to convey information effectively.
- Writing — Communicating effectively in writing as appropriate for the needs of the audience.
- Critical Thinking — Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
- Create & verify new workers' compensation cases;
- Obtain authorizations for applicable new patient treatments;
- Communicate promptly with adjusters and work case managers;
- Prepare and complete all letters and paperwork required;
- Communicate case information with patients;
- Fax patient notes;
- Manage all incoming calls from WC patients and representatives; address concerns and billing inquiries; may require interactions with patients in clinic
Requirements:
Education: High school diploma or equivalent. Some college is preferred.
Experience: Minimum one-year experience in customer service, work comp related, appointment scheduling and phone etiquette preferably in the health care industry. Outstanding communication skills.
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