Onsite Workers’ Comp Specialist - Precert & Claims

Semmes Murphey Clinic; Memphis (TN); On-site; USD 42,000 - 54,000; Full time

Job summary

Semmes Murphey Clinic in Memphis, TN is seeking a Workers’ Compensation Specialist to join our team. The onsite role focuses on obtaining financial medical clearance for patient treatment from workers’ compensation carriers and coordinating with clinical staff to ensure timely care.

You will handle precertification, communicate with insurance adjusters, and maintain patient records while upholding HIPAA standards.

Qualifications

• High school diploma or equivalent.
• Approximately 1 year of precertification experience in workers’ compensation.

Responsibilities

• Obtain intake data and precertification for evaluations and tests.
• Coordinate with workers’ comp carriers and nurse case managers.
• Act as liaison between clinical staff and claims adjusters.
• Coordinate with insurance and billing, nursing, and physicians.
• Maintain patient clearance records and confidentiality per HIPAA.
• Prioritize workflow and manage deadlines.

Skills

Communication skills

Customer service

Attention to detail

Workflow management

HIPAA knowledge

Education

High school diploma or equivalent

Tools

Microsoft Office

EMR

Job description

Semmes Murphey Clinic in Memphis, TN is seeking a Workers’ Compensation Specialist to join our team. The onsite role focuses on obtaining financial medical clearance for patient treatment from workers’ compensation carriers and coordinating with clinical staff to ensure timely care.

You will handle precertification, communicate with insurance adjusters, and maintain patient records while upholding HIPAA standards.