Workers' Compensation Specialist

Quest Financial; Atlanta (GA); On-site; USD 42,000 - 60,000; Full time

Job summary

Quest Financial is seeking a seasoned Workers' Compensation Coordinator to support injured workers, physicians and employers. You will manage WC cases from initial appointment through release, coordinating with case managers, adjusters and attorneys.

The role requires high school diploma, at least 2 years healthcare experience, knowledge of ICD-10/CPT codes and proficiency with Electronic Medical Records, preferably EClinicalWorks.

Qualifications

• High School Diploma or equivalent.
• Minimum 2 years healthcare experience.
• Extensive knowledge of workers' compensation insurance and medical terminology.
• Familiarity with ICD-10/CPT codes.
• Strong communication and organizational skills.

Responsibilities

• Manage Workers’ Compensation cases from initial appointment to release.
• Coordinate appointments, follow-up, authorizations, and communications with physicians and case managers.
• Handle billing dictation and liaison with carriers and adjusters.
• Enter missed appointments and patient demographics; follow up on missed appointments.
• Schedule WC appointments and manage insurance information.
• Resolve all WC issues and obtain necessary authorizations.
• Coordinate Second Opinion and IME appointments.
• Maintain relationships with carriers, employers, and adjustors; assist WC Director to grow market.
• Communicate WC patient information daily to physicians for appointments.
• Attend meetings with carriers, adjustors, and WC Director.
• Submit PPD ratings after dismissal.

Skills

Healthcare experience

ICD-10/CPT

EHR (EClinicalWorks)

Communication skills

Team player

Independent worker

Discretion

CWCP/MPWCP

Time management

Education

High School Diploma

Tools

EClinicalWorks

Microsoft Office

Job description

Our client is seeking a Workers Compensation Coordinator: The experienced Workers Compensation Coordinator will interact with the injured workers, attorneys, providers, employers, and sometimes family members.

JOB DESCRIPTION

• Manage location’s Workers’ Compensation cases throughout the continuum from initial appointment to patient’s release, working closely with physicians and case managers. Job Responsibilities
• Manage Workers’ Comp: appointments, follow-up, authorizations, communication with Physicians, Case Managers, Employers and Adjusters
• Copy Dictation for Workers’ Comp Billing, Workers’ Comp, Employer and Case Manager Liaison,
• Enter Missed Workers’ Comp Appointments, patient demographics. Follow up with patient and adjustor or case manager on all missed appointments
• Schedule Workers’ Comp Appointments. Enter all appropriate Insurance information, contacts and phone numbers to complete Health History
• Address and take action to resolve all Workers’ Comp issues
• Obtain authorization for treatment, Physical Therapy, Functional Capacity Evaluation, Second Opinion, surgery, and any other MD orders for WC patients. Schedule all WC patients’ appointments.
• Coordinate Second Opinion and Independent Medical Exam appointments with Physicians
• Maintain current relationships with Carriers, Employers, Adjustors. Work in concert with WC Director to establish new relationships in the market
• Communicate all WC patient information daily to MD for appointments (e.g., pre-cert status, availability of light duty, etc.)
• Attend scheduled meetings with Carriers, Adjustors, and WC Director
• Submit Permanent Partial Disability (PPD) ratings the next day after patient is dismissed from physician’s care

JOB REQUIREMENTS

• High School Diploma or equivalent
• 2 years Healthcare Experience
• Extensive working knowledge of worker’s compensation insurance and medical terminology
• Knowledge of ICD-10/CPT Codes
• Ability to build trust with physicians and case managers
• Knowledge of electronic medical record systems, preferably Eclinical Works
• Ability to keep a positive attitude in a fast-paced environment
• Ability to work as part of a team
• Must be able to work independently
• Must be detailed oriented
• Strong organizational and time management skills
• Excellent verbal and written communication skill
• Strong sense of discretion and professionalism
• CWCP or MPWCP certification preferred
• Extensive Knowledge of Department of Labor provider portal