Work Comp Coordinator

Golden State Orthopedics & Spine; Brentwood (CA); Presencial; USD 55.000 - 75.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Collaborative and friendly work环境

Full coverage for Employee PPO Medical

401k and Profit-Sharing Program

Paid Vacation, Floating Holidays, Sick

Descripción de la vacante

Golden State Orthopedics & Spine is seeking a Work Comp Coordinator to support work comp processes, ensure compliance, coordinate claims and facilitate return-to-work

You will obtain authorizations, schedule and process claims, handle denials, verify insurance data, and maintain patient confidentiality in a fast-paced orthopedic practice. Experience in a physician group is preferred and familiarity with CPT/ICD-10 coding is a plus.

Formación

• 2 years of experience in a physician group practice.
• Basic knowledge of CPT and ICD-10 coding.
• High school diploma or GED; college preferred.

Responsabilidades

• Obtain authorization for services from the patient’s work comp carrier.
• Schedule appointments in the practice management system.
• Process all insurance denials; research the claim and supply information for payment.
• Review insurance requests and follow up to ensure payment.
• Update patient insurance info and re-bill claims as needed.
• Respond to billing inquiries from patients by phone or mail.
• Follow up on refunds and coordinate with accounting staff for processing.
• Communicate with other departments, staff, and physicians.
• Follow up on Work Comp aging and print aging reports.
• Maintain confidentiality and HIPAA/compliance standards.
• Stay current with practice management software and related tools.
• Attend coding or continuing education courses as requested.
• Perform additional duties as assigned.

Conocimientos

Work Comp coordination

CPT/ICD-10 coding knowledge

HIPAA compliance

Educación

High school diploma or GED

College degree preferred

Herramientas

Practice management software

Descripción del empleo

We’re proud to be a leader in the orthopedic healthcare industry and one of the largest orthopedic practices in the Western United States. When you join our team, you become part of a dedicated group of professionals who have the resources, training, and expertise to deliver the most advanced orthopedic care to our patients.

About the Role

• The Work Comp Coordinator is responsible for supporting the work comp processes within the practice. They will also ensure compliance, coordinate claims, and facilitate return-to-work process

What You'll Do

• Obtaining authorization for services from the patient’s work comp carrier
• Scheduling appointments in the practice management system
• Processing all Insurance denials; researching the claim and supplying any necessary information that will generate payment
• Reviewing all insurance requests and do the necessary follow-up to ensure they have all of the necessary information to process the claim for payment
• Updating patient insurance information as it is provided and re-bills claims accordingly
• Responding to written and telephone billing inquiries from patients
• Following up on requests for refunds, and submits them to the appropriate accounting staff member for processing
• Communicating with other departments, staff members and physicians
• Following up on Work Comp aging
• Printing out current aging reports for all assigned financial classes
• Following up on correspondence with patients and insurance companies
• Maintaining financial class agings at the specified % for each aging bucket
• Maintaining patient confidentiality; complies with HIPAA and compliance guidelines established by the practice
• Maintaining knowledge of the practice management software and other computer software as it relates to job function
• Attends coding or continuing education courses as requested
• Additional duties as assigned

What We're Looking For:

• 2 years of experience working in a physician group practice
• Basic knowledge of CPT and ICD-10 coding
• High school diploma or GED certificate, college (preferred)

What We Offer

• Collaborative and friendly work environment
• Full coverage for Employee PPO Medical insurance
• 401k and Profit-Sharing Program
• Paid Vacation, Floating Holidays, Regular Holidays, Sick Time