Workers Compensation Case Manager

3 weeks ago


Grapevine, Texas, United States Resurgens Orthopaedics Full time
Job Summary:

Resurgens Orthopaedics is seeking a skilled Workers Compensation Specialist to join our team. As a Workers Compensation Specialist, you will be responsible for responding to appointments and following through on customer inquiries, issues, and concerns in a timely and accurate manner.

Key Responsibilities:
  • Responds 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.
  • Fills 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:

  • High school diploma or equivalent. Some college is preferred.
  • 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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