AR Claims Specialist - Workers' Compensation Department

GEORGIA SPINE & ORTHOPAEDICS•Roswell, GA

About The Position

Georgis Spine & Orthopaedics is a Comprehensive Spine and orthopedics care provider in GA. Our locations include Atlanta, Columbus, Gwinnett, Marietta, Tucker, Stockbridge, Roswell, Dalton, and the Surgery Center of Roswell. We specialize in offering cutting-edge treatment with a conservative approach. We are seeking a highly organized and detail-oriented AR follow-up Specialist to join a Workers' Compensation team. The Workers' Compensation Claims Follow-up Specialist is responsible for managing assigned workers' compensation cases and payer accounts. The role focuses on timely follow-up of outstanding claims to ensure proper processing, payment, or resolution in accordance with payer guidelines and state requirements.

Requirements

Basic Knowledge of the workers' compensation billing process is preferred
Strong attention to detail and organizational skills
Ability to manage assigned tasks and workloads independently
Clear and professional communication skills (verbal and written)
Comfortable working with multiple payers and deadlines
Basic computer and billing system proficiency

Responsibilities

Manage assigned workers' compensation cases and payer accounts
Follow up on outstanding and unpaid claims on time.
Contact payers to determine claim status, payment delays, or required actions
Identify and resolve issues related to claim processing, denials, or abatements
Obtain and submit any additional documentation required by payers
Document all follow-up activity, communications, and outcomes accurately in the billing system
Escalate unresolved complex issues as needed
Meet productivity and follow-up timelines established by the department