Legal/Worker's Compensation Scheduler

Healthcare Outcomes Performance Co. (HOPCo); Wellington (FL); On-site; USD 40,000 - 56,000; Full time

Benefits offered by this job

Competitive benefits

Mileage reimbursement

HSA with company match

401k with company match

Paid Time Off

Paid Holidays

Weekdays only

Job summary

Center for Bone & Joint Surgery of the Palm Beaches is seeking a Legal/Worker's Compensation Scheduler to manage worker’s compensation accounts, schedule patient visits, and handle authorizations. The role requires medical billing familiarity and excellent communication with patients, insurers, and providers.

Ideal candidates have at least a year in medical billing or worker’s compensation, with strong MS Office skills and the ability to learn policies and workflow processes in a fast-paced

Qualifications

• High school diploma or GED preferred.
• One year of medical billing or medical office experience.
• Worker’s Compensation experience preferred.
• Excellent verbal and written communication.
• Proficiency with Microsoft Office programs (Word, Excel, Outlook).

Responsibilities

• Reviews worker’s compensation accounts and forms for accuracy and completeness.
• Takes inbound calls from patients and insurance to set up patient charts and schedule appointments.
• Responds to inquiries and explains coverage per policy.
• Sends documentation and orders for each visit to the correct carrier.
• Interacts with claims adjusters to verify work status and appointments.
• Communicates regarding local and out-of-state guidelines and policies.
• Maintains all records and reports.
• Obtains authorizations for initial visits, surgeries, and physical therapy.

Skills

Billing

Microsoft Excel

Microsoft Word

Microsoft Outlook

Communication

Customer service

Scheduling

Analytical skills

Education

High school diploma/GED

Tools

Excel

Word

Outlook

Job description

Center for Bone & Joint Surgery of the Palm Beaches is a multi-location medical practice devoted to the diagnosis and treatment of injuries and diseases of the body's musculoskeletal system. Our locations feature a staff of highly trained orthopedic surgeons, each with a specific area of expertise.

Center for Bone & Joint Surgery of the Palm Beaches offers a team approach to your care and provides a variety of services right on campus designed for your convenience and ensuring an outstanding continuum of care. These include on-site X-ray, on-site MRI, on-site physical therapy, and aquatic therapy.

As Center for Bone & Joint Surgery of the palm Beaches continues to grow, we are looking for a Legal/Worker's Compensation Scheduler. Please see below for the functions and requirements for this position.

Essential Functions

• Reviews worker’s compensation accounts and forms for accuracy and completeness.
• Takes inbound calls from patients and insurance to set up patient charts, schedule appointments.
• Answers questions and provides information pertaining to well-defined areas, which require interpretation of the policy.
• Responsible for sending documentation and orders for each patient visit to the correct carrier.
• Interacts with claims adjustors to verify patient's work status and scheduled appointments.
• Communicates verbally and in writing regarding the interpretation of local and out-of-state guidelines and policies.
• Maintains all records and reports.
• Responds to telephone calls from internal staff, patients, adjusters, and case managers.
• Obtains authorizations for initial visits, surgeries, and physical therapy.

EDUCATION

• High school diploma/GED or equivalent working knowledge preferred.

Experience

• One-year medical billing or medical business office experience in a physician office or hospital environment; OR
• Worker’s Compensation experience is preferred.

Requirements

• Excellent verbal and written communication skills.
• Experience working with Microsoft applications including Word. Excel, and Outlook.
• Ability to work productively in a fast-paced environment.
• Ability to learn and retain company policies, state and federal policies, and workflow processes.

KNOWLEDGE

• Knowledge of worker’s compensation and/or healthcare insurance
• Knowledge of billing and related functions and tasks.
• Knowledge of worker’s compensation processes and requirements.
• Knowledge of payer-specific requirements, state and federal regulations.
• Knowledge of physician group operation and clinic policies.
• Knowledge of authorization and verification processes.

Skills

• Skill in the billing authorization process.
• Skill in obtaining necessary approvals for worker’s compensation to reduce denials.
• skill in the collection process for worker’s compensation.
• Skill in Microsoft applications, specifically Excel and Access.

At Center for Bone & Joint Surgery, we are dedicated to taking care of you so you can take care of business! Our robust benefits package includes the following:

• Competitive Health & Welfare Benefits
• Monthly $43 stipend to use toward ancillary benefits
• HSA with qualifying HDHP plans with company match
• 401k plan with company match
• Employee Assistance Program that is available 24/7 to provide support
• Paid Time Off
• Paid Holidays
• Monday - Friday
• No weekendsMileage reimbursement
• and more...

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