Worker's Compensation Claims Specialist
2 months ago
Salary: $17/hr Negotiable
Primus Ortho, a multidisciplinary orthopedic and physical therapy practice with a dedicated team of professionals, is in search of a full-time Worker's Compensation Authorization Specialist. The ideal candidate will possess exceptional customer service abilities and demonstrate a strong capacity for multitasking. This role necessitates a high level of organization, collaboration, and a natural disposition to be empathetic towards patients.
The successful applicant will need to quickly grasp new processes and communicate effectively with various stakeholders, including insurance companies, adjusters, nurse case managers, attorneys, and other healthcare providers. While prior customer service experience is beneficial, we are particularly interested in candidates who have a solid background in workers' compensation.
Key Responsibilities:
• Manage incoming communications for the Workers' Compensation and Personal Injury Department.
• Initiate and track treatment authorizations for Workers' Compensation cases.
• Conduct online and telephonic verification of insurance for orthopedic, physical therapy, and medication authorizations.
• Engage in correspondence with attorneys, adjusters, and nurse case managers regarding Workers' Compensation and Personal Injury matters.
• Communicate with referring physicians and healthcare facilities.
• Facilitate Peer-to-Peer discussions among physicians.
• Ensure accurate insurance and case information for patients prior to their appointments.
• Liaise with the Practice Administrator, billing department, patients, and physicians regarding case updates.
Maintaining a positive rapport with attorneys, case managers, and other members of the interdisciplinary team is essential.
The ideal candidate thrives in a fast-paced environment, exhibits a proactive attitude, and is eager to embrace additional responsibilities.
Compensation will be based on experience and salary history. Benefits include health and dental insurance, paid vacation, paid holidays, 401(k) options, and a supportive team environment.
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