Workers’ Compensation Specialist

Hunt; Omaha (NE); On-site; USD 38,000 - 52,000; Full time

Job summary

A healthcare organization in Omaha is seeking a Work Comp Specialist to coordinate care for workers' compensation patients. This role requires a High School Diploma and at least one year of relevant experience. Responsibilities include obtaining necessary referrals and records, coordinating with clinical teams, and maintaining patient confidentiality. The ideal candidate must possess strong time management skills and work well in a fast-paced environment. Full-time position with a Monday to Friday schedule offering 40 hours a week.

Qualifications

• 1+ year of Worker's compensation experience preferred.
• Operating knowledge of computers, copiers, fax machines, and email.
• Ability to communicate clearly and provide detailed explanations.
• Coordinate with clinical staff and adjusters.
• Strong time management in a fast-paced environment.
• Excellent communication with patients and team.

Responsibilities

• Obtain referral or authorization for treatment of workers' compensation patients.
• Ensure all prior records and X-ray discs are obtained.
• Coordinate with clinical staff and assist adjusters with requests.
• Obtain proper information and records for MVA or Third-Party liabilities.
• Coordinate with clinical staff.
• Ensure interpretive services are set up for patients, if needed.
• Assist adjusters, case managers, and employers with timely information requests.
• Maintain patient confidentiality per HIPAA regulations.
• Complete items identified in work queues promptly.
• Participate in performance improvement activities.
• Attend department meetings.

Skills

Knowledge of workers compensation

Time management

Customer service excellence

Computer skills

Multi-tasking

Calm under pressure

HIPAA compliance

Education

High School Diploma or GED

Tools

Computers

Copiers

Fax machines

Email client/server

Job description

OrthoNebraska creates the inspired healthcare experience all people deserve by giving people a direct path to personalized care and life-enhancing outcomes. With a focus on safety and people, we set the bar high in providing high-quality care with an unmatched experience. Our team members are critical to our success and growth and are rewarded for their dedication and hard work. IF this sounds like the type of team and environment you want to be a part of apply today!

Position Summary: The Work Comp Specialist works with patients, clinical teams, work comp companies, and the call center to coordinate care at OrthoNebraska. They act as the main liaison between patients and OrthoNebraska.

• Status: Full-Time
• Shift: Days
• FTE / Hours: 1.0 / 40
• Schedule: Mon - Fri: 8:00am - 5:00pm

Position Requirements

Education: High School Diploma or General Educational Development (GED) required.

Licensure: N/A

Certification: N/A

Experience: 1+ year of Worker's compensation experience preferred.

Required Knowledge/Skills/Abilities

• Operating knowledge of/and experience with computers, copiers, fax machines, and E-mail.
• This position requires a great deal of time management.
• Must be able to demonstrate calm and rational thinking and be able to communicate and provide detailed explanations in a clear and concise manner amongst the Workers' Compensation team, clinical staff, and managers.
• Must be able to multi-task with multiple interruptions in a fast-paced environment.
• Demonstrate behaviors which support excellence in customer service and professionalism.
• Must be able to demonstrate knowledge of workers compensation.

Essential Job Functions

• Responsible for obtaining referral or authorization for treatment of Workers' Compensation patients.
• Responsible for obtaining correct workers compensation company, claim number, billing address, and adjuster and nurse case manager contact information.
• Responsible for obtaining all prior records and X-ray discs of patients before first appointment, when applicable.
• Responsible for obtaining proper information and records for MVA or Third-Party liabilities.
• Coordinates with clinical staff.
• Ensure interpretive services are set up for patients, if needed.
• Assists adjusters, case managers, and employers with request for information in a timely manner.
• Maintains patient confidentiality by understanding HIPAA regulations.
• Completes items identified in work queues in a timely manner.
• Participate in performance improvement activities.
• Attend and participate in department meetings.
• Follow established guidelines as stated in the policies and procedures of Patient Financial Services at OrthoNebraska.
• Informs Assistant Manager/Manager of patient complaints and/or issues in a timely manner.
• Demonstrates Always TRUE and the OrthoNebraska Way.
• Other duties as assigned.

Physical requirements: This position is classified as Sedentary Work in the Dictionary of Occupational Titles, requiring the exertion of up to 10 pounds of force occasionally (up to 33% of the time) and/or a negligible amount of force frequently (33%-66% of the time) to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time.

Must be able to pass background check. We also conduct pre-employment physical and drug testing. Any job offer will be contingent upon successful completion of a pre-employment physical with a drug screen, background check and obtaining active licensures per job requirements.