Work Comp Coordinator: Claims, Compliance & Return-to-Work

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

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.