Workers Compensation Specialist

Tennessee Orthopaedic Alliance, PA • Columbia, TN

8h • Onsite

About The Position

Tennessee Orthopaedic Alliance (TOA) is the largest orthopaedic surgery group in Tennessee, specializing in the diagnosis and treatment of musculoskeletal disorders and injuries. With a history dating back to 1926, TOA has expanded to over 20 locations across the state. TOA is seeking a high-performing Workers' Compensation Specialist to coordinate care for patients utilizing Workers' Compensation benefits. This role involves facilitating initial outreach, obtaining authorizations and pre-certifications for various services (examinations, physical therapy, diagnostics), scheduling appointments, and managing the workflow of assigned cases. The specialist will work closely with employers, insurance adjusters, attorneys, and physicians to communicate and collaborate on workers' compensation case issues, ensuring care is scheduled appropriately and free from complication. The position also requires obtaining and entering pertinent data into computer systems and distributing necessary documentation.

Requirements

• A high school diploma or equivalent is required
• Exceptional customer service and patient focus
• Multi-tasking and successfully operating in a fast-paced environment, with the demonstrated ability to handle a high volume of telephonic inquiries and documentation workflow with a high degree of accuracy
• Knowledge of Insurance, particularly workers compensation and health insurance provisions is essential
• Previous experience including collecting co payment, deductibles, coinsurance, and balances
• Knowledge of administrative and clerical procedures, including experience with computer systems
• Focus on attention to detail, ensuring that all documentation is entered accurately and swiftly
• The ability to multi-task and maintain flexibility – including flexibility in work schedules to adjust to necessary clinic hours
• Collaboration, working closely with clinical colleagues and administrative team mates to develop a cohesive, high performing team
• An energetic and enthusiastic pace at work, with the ability to swiftly and accurately manage the flow of patients through the clinic, without any diminishing focus on patient care
• Dependability, with a reliance on the capacity to be at work on-time, every day so our patients can receive the care they need in a timely manner

Nice To Haves

• A Bachelors Degree is preferred
• At least one year medical office administration or clinical experience is preferred
• Some experience with Workers' Compensation or an orthopaedic office a plus
• Experience with an EHR or NextGen is a plus

Responsibilities

• Field initial outreach from injured workers or their employers to facilitate services by TOA
• Obtain authorization and pre-certification for services such as examinations, physical therapy, diagnostics and other ancillary services
• Schedule workers’ compensation appointments, follow-up appointments, and coordinate the scheduling of ancillary services
• Work closely with employers, insurance adjusters, attorneys, an physicians to communicate and collaborate on workers' compensation case issues
• Manage the workflow of assigned workers' compensation cases, including telephone and email inquiries from employers, insurance carriers, and case managers, attorneys regarding injured worker
• Obtain information and entering pertinent data into our computer systems – including the completion and timely distribution of necessary documentation to the proper party

Benefits

• Medical
• Dental
• Paid Time Off
• 401(k) plan provides a company match, safe harbor match and profit-sharing match to go along with your contributions

What This Job Offers

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