Work Comp Coordinator

Golden State Orthopedics and Spine • Brentwood, CA

17h • $23 - $25

About The Position

The Work Comp Coordinator supports workers’ compensation processes within the practice, ensuring compliance, coordinating claims, and facilitating the return-to-work process. The role includes obtaining authorizations, scheduling appointments, processing and appealing insurance claims, responding to billing inquiries, maintaining insurance and patient information, and following up on workers’ compensation aging and correspondence. The coordinator also works with other departments, staff members, physicians, patients, and insurance companies; maintains patient confidentiality and compliance with HIPAA guidelines; and stays knowledgeable about practice management and other relevant software.

Requirements

• Two years of experience working in a physician group practice.
• Basic knowledge of CPT and ICD-10 coding.
• High school diploma or GED certificate.

Nice To Haves

• College education is preferred.

Responsibilities

• Attend regular department meetings.
• Obtain authorization for services from patients’ workers’ compensation carriers.
• Schedule appointments in the practice management system.
• Process insurance denials by researching claims and supplying information needed to generate payment.
• Review insurance requests and follow up to ensure the information needed to process claims for payment is provided.
• Update patient insurance information as it is provided and rebill claims accordingly.
• Respond to written and telephone billing inquiries from patients.
• Follow up on refund requests and submit them to the appropriate accounting staff member for processing.
• Appeal incorrect insurance denials.
• Communicate with other departments, staff members, and physicians.
• Follow up on workers’ compensation aging.
• Print current aging reports for all assigned financial classes.
• Follow up on correspondence with patients and insurance companies.
• Maintain financial class aging at the specified percentage for each aging bucket.
• Maintain patient confidentiality and comply with HIPAA and the practice’s compliance guidelines.
• Maintain knowledge of practice management software and other computer software relevant to the job.
• Attend coding or continuing education courses as requested.
• Perform additional duties as assigned.

Benefits

• Collaborative and friendly work environment.
• Full coverage for Employee PPO Medical insurance.
• 401(k) and profit-sharing program.
• Paid vacation, floating holidays, regular holidays, and sick time.
• Employee discount programs.
• Internal mobility.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED