Worker's Comp Representative

FORTE' SPORTS MEDICINE & ORTHOPEDICS•Carmel, IN

2d•Hybrid

About The Position

Responsible for the accurate and timely handling of worker’s compensation data and ensuing interactions, ensuring appropriate payment of claims. Serve as a knowledgeable liaison with patients, medical providers, employers and insurance companies. Essential functions Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions. Serve as an effective liaison between a variety of customers including patients, employers, medical providers and staff, and worker’s compensation insurance carriers. Answer high volume of phone calls, utilizing excellent customer service and time management skills. Obtain applicable patient referrals in a timely manner, with accurate documentation Schedule new patient appointments, obtaining appropriate approvals as needed. Send current, comprehensive work status documentation to applicable employers and insurance carriers as needed. Process all aspects of worker’s compensation patient visits, necessary to receive appropriate payment including documenting and entering all pertinent information into the patient electronic health record (EHR). Obtain and manage approvals for surgeries, diagnostic testing, therapy, and injections related to workers’ compensation cases. Track and monitor the progress of authorized procedures and treatments. Process invoices for Permanent Partial Impairment Ratings (PPI), Platelet-Rich Plasma (PRP) injections, and Independent Medical Examinations (IME). Maintain excellent working relationship with all physicians, providers, management, workers, compensation insurance carriers, internal departmental and external business staff, consistently demonstrating a high degree of respect and professionalism.

Requirements

Strong knowledge of front medical office, accounting and insurance practices, with proficiency in worker’s compensation.
Maintain knowledge of current practice information per policy/procedures
Strong analytical and problem-solving abilities
Good communication skills both oral and written
Ability to collaborate with cross-functional teams and work effectively in a collaborative environment
Precision and accuracy in reviewing documents and patient accounts
Experience in computer operations
Ability to maintain composure and professionalism in fast paced situations
At least two (2) years of related work experience in a medical practice office or comparable healthcare setting.

Nice To Haves

High School Diploma or equivalent required with Associates degree in management, medical billing, accounting and/or healthcare related field preferred.
Worker’s Compensation certification preferred.

Responsibilities

Serve as an effective liaison between a variety of customers including patients, employers, medical providers and staff, and worker’s compensation insurance carriers.
Answer high volume of phone calls, utilizing excellent customer service and time management skills.
Obtain applicable patient referrals in a timely manner, with accurate documentation
Schedule new patient appointments, obtaining appropriate approvals as needed.
Send current, comprehensive work status documentation to applicable employers and insurance carriers as needed.
Process all aspects of worker’s compensation patient visits, necessary to receive appropriate payment including documenting and entering all pertinent information into the patient electronic health record (EHR).
Obtain and manage approvals for surgeries, diagnostic testing, therapy, and injections related to workers’ compensation cases.
Track and monitor the progress of authorized procedures and treatments.
Process invoices for Permanent Partial Impairment Ratings (PPI), Platelet-Rich Plasma (PRP) injections, and Independent Medical Examinations (IME).
Maintain excellent working relationship with all physicians, providers, management, workers, compensation insurance carriers, internal departmental and external business staff, consistently demonstrating a high degree of respect and professionalism.