Work Comp Specialist (Full-Time)

Nebraska Orthopaedic Center, PC; Lincoln (NE); Presencial; USD 45.000 - 60.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

401(k)

401(k) matching

Dental insurance

Disability insurance

Employee assistance program

Flexible spending account

Free parking

Health insurance

License reimbursement

Life insurance

Paid time off

Tuition reimbursement

Vision insurance

Descripción de la vacante

Nebraska Orthopaedic Center, PC is seeking a Work Comp Specialist in Lincoln, NE to manage workers' compensation claims from intake to resolution. The role emphasizes follow-up with insurers, authorization, documentation, and communication with physicians and the work-comp team to coordinate care and status updates.

The successful candidate will have a high school diploma or GED, knowledge of workers' compensation processes, strong computer skills, and the ability to work well within a team

Formación

• Knowledge of the work comp process and procedures.
• Strong communication and teamwork skills.
• Proficient with standard office computer systems.

Responsabilidades

• Follow up on unpaid claims with insurance companies or adjusters.
• Review daily correspondence with insurers, attorneys, and schedulers.
• Obtain pre-authorization for physician procedures.
• Post charges for narratives and mail claim documents.
• Maintain communication with physicians and work comp team about status changes.
• Appeal denials and underpayments of claims.
• Set up new Work Comp patients in the system.
• Ensure regular and reliable attendance.

Conocimientos

Work Comp process

Communication skills

Teamwork

Computer skills

Educación

High School diploma or GED

Descripción del empleo

• Typical Schedule: Monday-Friday 8:30-5pm

Job Title: Work Comp Specialist

• Typical Schedule: Monday-Friday 8:30-5pm

Job Type: Full Time

We always strive to make your experience at Nebraska Orthopaedic Center a friendly, comfortable, and positive one. We want you to feel you received the same high-quality care we would offer a member of your own family. At NOC, we strive to be your healing destination.

Essential Functions:

• Follow up on unpaid claims with insurance company or adjuster.
• Review and address daily correspondence with insurance companies, attorneys, schedulers, etc.
• Obtain pre-authorization for NOC physician procedures.
• Post charges for narrative reports, depositions, talks, etc. and mail claim/statements to the requesting party.
• Review narrative reports for accuracy and mail to requesting party; communicate with physician as needed.
• Maintain communication with physician, work comp. adjuster/nurse case manager, and patient to discuss change in work status.
• Mail treatment claims with reports to work comp. insurance.
• Responsible for appealing all denials and underpayments of claims.
• Communicate office notes & work status notes to work comp. adjuster or nurse case manager.
• Approve medical records to copy records for insurance or attorney.
• Answer patient's worker's compensation related questions.
• Set up new Work Comp patients in system.
• Regular and reliable attendance is an essential function of the job.

Requirements:

• High School diploma or GED.
• Knowledge of Work Comp process.
• Knowledge of workers compensation practices and business office procedures.
• Skill in using computer.
• Ability to work efficiently with others as a team member.
• Ability to communicate clearly and concisely.

Our physicians have trained among some of the top medical experts and training facilities in the nation. We place a great deal of value on each and every opportunity we have to assist patients to regain the quality of life they deserve. Our commitment to the University of Nebraska Athletic Department (Husker Team Physicians), area high schools and recreational athletes shows our motivation to minimize an athlete’s downtime so they can compete to the best of their ability. For more information go to: www.nebraskaortho.com

EOE

• Schedules can vary depending on department needs.

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible spending account
• Free parking
• Health insurance
• License reimbursement
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance