The Orthopedic Clinic
Claims Coordinator - Workers Compensation
The Orthopedic Clinic, Daytona Beach, Florida, United States, 32118
Job Type
Full-time
Description
Live your life in full motion!
Join our Team to put the
FUN
in functionality!!
Do you have a working knowledge of Florida's workers compensation laws? Do you have excellent communication skills with a knack for building & cultivating professional relationships? This might be just the opportunity for you!!
We are the leaders in the orthopedic community of East Central Florida,
The Orthopedic Clinic
has served our community since 1961. We get our patients back to the life they love with high quality, individualized orthopedic care. The Orthopedic Clinic is seeking an enthusiastic and driven candidate that has previous experience with workers comp claims to join our dedicated as a
Workers Compensation Claims Coordinator.
The
Workers Compensation Claims Coordinator
will provide concierge service for our private practice Workers Compensation line of business. The responsibilities of this position include translating and maintaining working knowledge of work comp regulations and guidelines, coordinating appointments, processing claims, calculating the costs of service, and processing work comp A/R claims. Our
Workers Compensation Claims Coordinator
will be skilled in maintaining effective working relationships with co-workers, third party payors, and patients while maintaining exemplary customer service skills and a passion for quality healthcare.
We believe every patient should receive the best possible care, our practice offers an array of services specializing in general orthopedics, spine care, sports reconstruction, adult reconstruction and non-surgical treatments. We currently have eleven Orthopedic Surgeons, one Interventional Pain Management Physician, Mid-Level Providers, and a Physical Therapy team who serve patients at four locations within Volusia and Flagler counties.
What the Workers Compensation Claims Coordinator will be able to:
Process Workers Compensation referrals, appointments and claims.Fill out and process authorization forms for the appropriate appointment type, i.e. special evaluation, IME's.Prepare DWC-25 and transmit to appropriate parties.Prepare insurance claim forms or related documents and review them for completenessSkilled in exercising a high degree of initiative, judgement, discretion, and decision-making to achieve organizational objectivesAnswers inquiries and correspondence from carriers, referring physicians offices and insurance companies'Reading and comprehending explanation of benefits/HCFA formsResponsible for taking action on non-payment or zero pay claim, including contacting insurance companies as needed to diagnose, correct, and rebill claimsResponsible for providing any information (medical records, itemized statements, etc.) required by insurance companies to overturn denied claims.Assist Patient Services staff with patient's requesting advanced assistance with their accountReading and interpreting denials and filing appeals
Requirements
Experience and Abilities:
•Minimum of High School Diploma
•Prior workers comp experience in a medical practice
•Previous customer service experience, preferably in medical/healthcare setting
•Proficiency in the use of Microsoft Office Products, EPM and EHR software applications, preferably Athena
•Valid Driver's License / Clean driving record / Proof of auto insurance
The Orthopedic Clinic is an Equal Opportunity Employer and fully subscribe to the principles of Equal Employment Opportunity. Applicants and/or employees are considered for hire, promotion and job status, without regard to race, color, citizenship, religion, national origin, age, sex (including sexual harassment, sexual orientation, and gender identity), disability or handicap, genetic information, citizenship status, veteran, or current or future military status or any other category protected by federal, state, or local law.
The Orthopedic Clinic is a drug free workplace all applicants under consideration for employment will be background checked as part of the hiring process.
Full-time
Description
Live your life in full motion!
Join our Team to put the
FUN
in functionality!!
Do you have a working knowledge of Florida's workers compensation laws? Do you have excellent communication skills with a knack for building & cultivating professional relationships? This might be just the opportunity for you!!
We are the leaders in the orthopedic community of East Central Florida,
The Orthopedic Clinic
has served our community since 1961. We get our patients back to the life they love with high quality, individualized orthopedic care. The Orthopedic Clinic is seeking an enthusiastic and driven candidate that has previous experience with workers comp claims to join our dedicated as a
Workers Compensation Claims Coordinator.
The
Workers Compensation Claims Coordinator
will provide concierge service for our private practice Workers Compensation line of business. The responsibilities of this position include translating and maintaining working knowledge of work comp regulations and guidelines, coordinating appointments, processing claims, calculating the costs of service, and processing work comp A/R claims. Our
Workers Compensation Claims Coordinator
will be skilled in maintaining effective working relationships with co-workers, third party payors, and patients while maintaining exemplary customer service skills and a passion for quality healthcare.
We believe every patient should receive the best possible care, our practice offers an array of services specializing in general orthopedics, spine care, sports reconstruction, adult reconstruction and non-surgical treatments. We currently have eleven Orthopedic Surgeons, one Interventional Pain Management Physician, Mid-Level Providers, and a Physical Therapy team who serve patients at four locations within Volusia and Flagler counties.
What the Workers Compensation Claims Coordinator will be able to:
Process Workers Compensation referrals, appointments and claims.Fill out and process authorization forms for the appropriate appointment type, i.e. special evaluation, IME's.Prepare DWC-25 and transmit to appropriate parties.Prepare insurance claim forms or related documents and review them for completenessSkilled in exercising a high degree of initiative, judgement, discretion, and decision-making to achieve organizational objectivesAnswers inquiries and correspondence from carriers, referring physicians offices and insurance companies'Reading and comprehending explanation of benefits/HCFA formsResponsible for taking action on non-payment or zero pay claim, including contacting insurance companies as needed to diagnose, correct, and rebill claimsResponsible for providing any information (medical records, itemized statements, etc.) required by insurance companies to overturn denied claims.Assist Patient Services staff with patient's requesting advanced assistance with their accountReading and interpreting denials and filing appeals
Requirements
Experience and Abilities:
•Minimum of High School Diploma
•Prior workers comp experience in a medical practice
•Previous customer service experience, preferably in medical/healthcare setting
•Proficiency in the use of Microsoft Office Products, EPM and EHR software applications, preferably Athena
•Valid Driver's License / Clean driving record / Proof of auto insurance
The Orthopedic Clinic is an Equal Opportunity Employer and fully subscribe to the principles of Equal Employment Opportunity. Applicants and/or employees are considered for hire, promotion and job status, without regard to race, color, citizenship, religion, national origin, age, sex (including sexual harassment, sexual orientation, and gender identity), disability or handicap, genetic information, citizenship status, veteran, or current or future military status or any other category protected by federal, state, or local law.
The Orthopedic Clinic is a drug free workplace all applicants under consideration for employment will be background checked as part of the hiring process.