Accounts Receivable Work Comp Financial Coordinator
4 weeks ago
The team at Orlando Orthopaedic Center delivers cost-effective, comprehensive coordinated patient care throughout Central Florida and beyond.
We have nine Orlando Orthopaedic Center locations throughout Central Florida, plus a state-of-the-art outpatient surgery center at the heart of our downtown campus located in the trendy SoDo Shopping District just south of downtown Orlando. To provide more immediate care, we have opened several orthopaedic injury walk-in clinics located throughout Orlando and the surrounding communities.
For over 50 years, our team of physicians and support staff have been getting Central Floridians back to work, back to play and back to making a difference in our community.
Whether it is supporting the local Arthritis Foundation in their annual walk or providing pre-participation sports physicals to high school students, our team at Orlando Orthopaedic Center is actively making a difference throughout Central Florida.
*POSITION: *AR WORK COMP FINANCIAL COORDINATOR
*RESPONSIBLE TO: *AR Manager
*JOB SUMMARY: *Responsible for collecting outstanding worker compensation insurance balances from various payers. Following up with workers compensation insurance balances; analyzing denial trends and coding edits. Understand complex medical workers compensation insurance plan terminology and appeal denied claims.
*EDUCATIONAL REQUIREMENTS:*
▪ High school diploma required
▪ Advanced Degree or Certification preferred
▪ Strong accounting computer skills required
▪ Knowledge of ICD-10 and CPT Codes preferred
*QUALIFICATIONS AND EXPERIENCE:*
▪ Two years’ experience in accounting, data entry or medical payment posting.
▪ Must be proficient in Excel and creating word documents.
▪ Must be detail oriented.
▪ Ability to perform multiple and diverse tasks simultaneously.
▪ Strong written and verbal communication skills.
▪ Ability to perform multiple and diverse tasks simultaneously
▪ Strong written and verbal communication skills and cheerful attitude
*Responsibilities include, but are not limited to, the following:*
*Work Comp Financial Coordinator duties*
▪ Understand how to interpret authorization and coverage for a procedure using WC manual.
▪ Analyze and work outstanding AR WC report and Practice Management Queues.
▪ Identify claim missing documents and forward to the clearing house.
▪ Prepare chart for settlement notices and notify all appropriate departments.
▪ Research appointment errors related to WC.
▪ Identify, research, and submit appeals as appropriate for low pay, no pay, and denials to ensure appropriate payment.
▪ Identify inappropriate payment or denial trends and notify the AR Manager.
Created on 4/2008 1 Revised on 12/29/2014
▪ Update and repost any updated WC charge information.
▪ Research EHR messages from DME and Charge entry and update accounts accordingly.
▪ Review the clearing house upfront Edits and Rejections on a daily basis.
▪ Update MMI status and notify all appropriate departments.
▪ Review any refund request from WC carrier.
▪ Analyze and work scrubbers prior to spooling claims.
▪ Coordinate all WC correspondence and clinical paperwork using approved forms for appeals.
▪ Complete special projects related to WC claims as designated by the AR Manager.
*General Patient Care*
▪ Reviews all WC correspondence to ensure proper attachment have been attached to ensure chart is properly built with correct insurance information.
▪ Responsible for all incoming WC telephone calls; ensures action taken is document appropriately in the patient chart.
▪ Responsible for all incoming inquiries, both written and verbal, from nurse case managers and health insurance carriers.
▪ Processes WC correspondence related to billing inquire. For (i.e.: PSA forms, IME forms, contributing cause letters, etc.).
▪ Maintains patient confidentiality; complies with HIPAA and compliance guidelines established by the practice.
*General Administration*
▪ Maintains detailed knowledge of practice management, electronic health record and other computer software as it relates to job functions.
▪ Attends continuing education courses as requested.
▪ Completes all other duties as assigned by the AR Manager.
▪ Work hours coincide with Orlando Orthopaedic Center’s operating hours (8am to 5pm)
*Supervisory Responsibilities *
This job has no supervisory responsibilities.
*Typical Physical Demands *
Work may require sitting for long periods of time, and also stooping, bending and stretching for files and supplies. Position requires manual dexterity sufficient to operate a keyboard, operate a computer,
telephone, calculator, copier, and such other office equipment as necessary. Position also requires viewing computer screens and typing for long periods of time and working in an environment which may be stressful. Position could require occasional travel.
*Typical Working Conditions *
Normal office environment
Job Type: Full-time
Benefits:
* 401(k)
* 401(k) matching
* Dental insurance
* Disability insurance
* Employee discount
* Flexible spending account
* Health insurance
* Health savings account
* Life insurance
* Paid sick time
* Paid time off
* Vision insurance
Physical Setting:
* Office
Schedule:
* 8 hour shift
* Day shift
* Monday to Friday
Education:
* High school or equivalent (Required)
Experience:
* Accounting, data entry or medical payment posting: 2 years (Required)
* Microsoft Excel: 1 year (Required)
* accounting computer skill: 1 year (Required)
Work Location: In person
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Orlando, United States Orlando Orthopaedic Center Full timeSince 1972, Orlando Orthopaedic Center has remained independently owned and has grown to include 24 orthopaedic specialists across multiple subspecialties, many of whom are recognized leaders amongst their peers nationwide.Candidates should take the time to read all the elements of this job advert carefully Please make your application promptly.The team at...
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Orlando, FL, United States Orlando Orthopaedic Center Full timeSince 1972, Orlando Orthopaedic Center has remained independently owned and has grown to include 24 orthopaedic specialists across multiple subspecialties, many of whom are recognized leaders amongst their peers nationwide. The team at Orlando Orthopaedic Center delivers cost-effective, comprehensive coordinated patient care throughout Central Florida and...
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