Legal/Worker's Compensation Scheduler

Healthcare Outcomes Performance Co. (HOPCo)•Wellington, FL

10d•Onsite

About The Position

Center for Bone & Joint Surgery of the Palm Beaches is a multi-location medical practice devoted to the diagnosis and treatment of injuries and diseases of the body's musculoskeletal system. Our locations feature a staff of highly trained orthopedic surgeons, each with a specific area of expertise. Center for Bone & Joint Surgery of the Palm Beaches offers a team approach to your care and provides a variety of services right on campus designed for your convenience and ensuring an outstanding continuum of care. These include on-site X-ray, on-site MRI, on-site physical therapy, and aquatic therapy. As Center for Bone & Joint Surgery of the palm Beaches continues to grow, we are looking for a Legal/Worker's Compensation Scheduler. Please see below for the functions and requirements for this position.

Requirements

Excellent verbal and written communication skills.
Experience working with Microsoft applications including Word. Excel, and Outlook.
Ability to work productively in a fast-paced environment.
Ability to learn and retain company policies, state and federal policies, and workflow processes.
Knowledge of worker’s compensation and/or healthcare insurance
Knowledge of billing and related functions and tasks.
Knowledge of worker’s compensation processes and requirements.
Knowledge of payer-specific requirements, state and federal regulations.
Knowledge of physician group operation and clinic policies.
Knowledge of authorization and verification processes.
Skill in the billing authorization process.
Skill in obtaining necessary approvals for worker’s compensation to reduce denials.
skill in the collection process for worker’s compensation.
Skill in Microsoft applications, specifically Excel and Access.

Nice To Haves

Worker’s Compensation experience is preferred.

Responsibilities

Reviews worker’s compensation accounts and forms for accuracy and completeness.
Takes inbound calls from patients and insurance to set up patient charts, schedule appointments.
Answers questions and provides information pertaining to well-defined areas, which require interpretation of the policy.
Responsible for sending documentation and orders for each patient visit to the correct carrier.
Interacts with claims adjustors to verify patient's work status and scheduled appointments.
Communicates verbally and in writing regarding the interpretation of local and out-of-state guidelines and policies.
Maintains all records and reports.
Responds to telephone calls from internal staff, patients, adjusters, and case managers.
Obtains authorizations for initial visits, surgeries, and physical therapy.