Workers' Compensation Specialist

Quest Financial; Atlanta (GA); Vor Ort; USD 42.000 - 68.000; Vollzeit

Zusammenfassung

Quest Financial is seeking a Workers’ Compensation Coordinator to manage WC cases, coordinate with physicians, carriers, and employers. This on-site role requires strong organizational skills and knowledge of ICD-10/CPT. The ideal candidate has healthcare experience and familiarity with EClinicalWorks.

The position is fully on site, five days a week, with no remote option, and offers opportunities to liaise with medical professionals and insurance providers.

Qualifikationen

• 2 years of healthcare experience required.
• Extensive knowledge of workers’ compensation insurance and medical terminology.
• Familiar with ICD-10/CPT coding.
• Experience with electronic medical record systems, preferably EClinicalWorks.
• Strong organizational and time management skills.
• Excellent verbal and written communication.

Aufgaben

• Manage Workers’ Compensation cases from initial appointment to release.
• Schedule appointments, follow-ups, authorizations, and liaise with physicians and adjusters.
• Enter demographics and insurance information; track missed appointments.
• Coordinate second opinions and independent medical exams.
• Maintain relationships with carriers, employers, and case managers.
• Submit Permanent Partial Disability (PPD) ratings after treatment completion.

Kenntnisse

Healthcare experience

ICD-10/CPT coding

Electronic Medical Records

CWCP/MPWCP preferred

Attention to detail

Communication skills

Ausbildung

High School Diploma or equivalent

Tools

EClinicalWorks

Jobbeschreibung

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.

This role is fully on site 5 days a week, no remote or hybrid option.

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