Orthopedic WC Claims & Scheduling Specialist

Boston Medical Center; Boston (MA); On-site; USD 35,101 - 50,998; Full time

Benefits offered by this job

Medical, dental, vision

Paid time off

Retirement contributions

Job summary

Boston Medical Center seeks an Orthopedic Surgery Workers' Compensation Specialist to provide clerical and administrative support for workers’ compensation injuries in orthopedic patients. The role processes data, generates routine reports, and assists claim representatives and patients.

Under supervision, you will maintain records, calendars, prepare letters and medicolegal documents, and assist with scheduling surgeries and imaging as needed.

Qualifications

• Education: Associate degree in a Business/Legal-related field required; Bachelor’s degree preferred.
• Experience: Minimum of three years of clerical and insurance management experience.
• Experience in a workers’ compensation adjuster or case manager role preferred.
• Experience in Orthopedic clinical setting is a plus.
• Workers’ Compensation Analyst certification preferred but not required.

Responsibilities

• Develop, maintain, and manage the internal workers’ compensation program.
• Investigate and process workers’ compensation claims from initial evaluation to surgical and discharge phases.
• Communicate with employees, managers, insurance carriers, medical providers, surgeons, attorneys, and management regarding workers’ comp issues.
• Collaborate with Billing Director to respond to claim investigations, settlements, and litigations.
• Maintain timely communication loops regarding claims processing, status, and denials.
• Assist patients with reporting workplace injuries promptly.
• Schedule and manage appointments (routine follow-ups, IMEs, etc.) and assist Medical Providers with scheduling depositions, court appearances, etc.

Skills

Administration of WC program and laws

Communication skills

Organizational and analytical skills

Spreadsheet/DB/Office tools

Accounting basics

One-on-one & small group presenting

Project coordination

Independent & collaborative work

Education

Associate degree in business/legal field

Bachelor’s degree preferred

Tools

PowerPoint

Word

Excel

Job description

Boston Medical Center seeks an Orthopedic Surgery Workers' Compensation Specialist to provide clerical and administrative support for workers’ compensation injuries in orthopedic patients. The role processes data, generates routine reports, and assists claim representatives and patients.

Under supervision, you will maintain records, calendars, prepare letters and medicolegal documents, and assist with scheduling surgeries and imaging as needed.