Work Comp Coordinator: Claims & Compliance Specialist

Golden State Orthopedics and Spine; Brentwood (CA); On-site; USD 52,000 - 70,000; Full time

Benefits offered by this job

Medical insurance

401k and profit-sharing

Paid vacation and holidays

Employee discount programs

Internal mobility

Job summary

Golden State Orthopedics and Spine in Brentwood, CA is seeking a Work Comp Coordinator to support workers' compensation processes, ensure compliance, and coordinate claims. You will handle authorizations, manage the billing workflow, and communicate with patients and carriers to resolve denials and aging claims.

The role requires 2 years in a physician group and knowledge of CPT/ICD-10 coding, with a high school diploma (college preferred).

Qualifications

• 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).

Responsibilities

• Attending regular department meetings.
• 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 follow-up to ensure they have all 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.
• Appealing incorrect insurance denials.
• 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.
• Attending regular department meetings.
• Attends coding or continuing education courses as requested.
• Additional duties as assigned.

Skills

2 years of experience in a physician

CPT & ICD-10 coding knowledge

Education

High school diploma or GED

College degree preferred

Job description

Golden State Orthopedics and Spine in Brentwood, CA is seeking a Work Comp Coordinator to support workers' compensation processes, ensure compliance, and coordinate claims. You will handle authorizations, manage the billing workflow, and communicate with patients and carriers to resolve denials and aging claims.

The role requires 2 years in a physician group and knowledge of CPT/ICD-10 coding, with a high school diploma (college preferred).