Job description

Established in 2001, Southeast Orthopedic Specialists is a regional leader in orthopedic medicine. We are dedicated to growing with our patients. Our reach will continue to expand to meet the needs of all patients, present and future. It is our wish to make industry-leading five-star orthopedic care accessible to as many people as possible.

At Southeast Orthopedic Specialists, we are dedicated to taking care of you so you can take care of business! Our robust benefits package includes the following:

• Competitive Health & Welfare Benefits
• Monthly $43 stipend to use toward ancillary benefits
• HSA with qualifying HDHP plans with company match
• 401k plan after 6 months of service with company match
• Employee Assistance Program
• Employee Appreciation Events
• Paid Holidays & Paid Time Off

As Southeast Orthopedic Specialists continues to grow, we are looking for a Workers Compensation Specialists. Please see below for the functions and requirements for this position:

PAY: $15.50 - $17.00/hour. (depending on experience)

GENERAL STATEMENT OF DUTIES
The Workers Compensation Specialist will be responsible for answering all incoming calls and emails to the Workers Compensation Department, setting up new patient charts, setting appointments, obtaining authorizations, providing end of visit documentation to insurance carriers, and processing outgoing claims. Specialists will also assist patients, nurse case managers, and adjusters with any requests or needs. Specialists will assist physicians and their teams with any questions or needs regarding workers compensation claim patients.

ESSENTIAL FUNCTIONS

• 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 policy.
• Reviews accounts and forms for accuracy and completeness.
• Responsible for sending documentation and orders for each patient visit to the correct carrier.
• Interacts with claims adjustors to verify patients work status and scheduled appointments.
• Communicates verbally and in writing regarding interpretation of local and out of state guidelines and policies.
• Maintains all records and reports.
• Responds to telephone calls from internal staff, patients, adjustors, and case managers.
• Obtains authorizations for initial visits, surgeries, and physical therapy.
• The job holder must demonstrate current competencies for job position.

EDUCATION

• High school diploma/GED.

EXPERIENCE

• This position will accept any one of the below experiences as qualification: One-year medical billing or medical business office experience in physician office or hospital environment, One-year customer service experience in retail, sales, or insurance or One-year experience in the insurance industry.
• Workers' Compensation experience is always preferred.

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.

** The functions and responsibilites of this role may change as the position evolves**

Job Type: Full-time

Pay: $15.00 - $16.50 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Paid training
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Education:

• High school or equivalent (Required)

Experience:

• Workers' compensation: 1 year (Preferred)
• HIPAA: 1 year (Preferred)
• Medical scheduling: 1 year (Required)
• Microsoft Office: 1 year (Preferred)
• Insurance verification: 1 year (Preferred)

Work Location: One location

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