Workers' Compensation Specialist

Summary/Objective:

Partner with the Worker’s Compensation team to manage location's Workers' Compensation cases throughout the continuum from initial appointment to patient's release.

Responsibilities:

Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions:

• Coordination of Workers' Comp: appointments, follow-up, authorizations, communication with Physicians, Case Managers, Employers and Adjusters; attorneys and paralegals with PI cases.
• Act as employer and Case Manager Liaison by sending clinical notes and supporting documentation to adjusters and case managers daily for previous day
• Enter guarantor, coverage, and employer information in EMR to ensure correct billing
• Follow up with patient and adjustor or case manager on all missed appointments.
• Schedule Workers' Comp Appointments as needed
• Confirm physician return to work status is completed each visit and send it and dictation to Carrier/Adjustor/Employer immediately after visit.
• Collaborate with Worker’s Compensation Billing Specialist and Revenue Cycle Manager to address and take action to resolve all Workers' Comp issues.
• Obtain authorization for treatment, Physical Therapy, Functional Capacity Evaluation, Second Opinion, surgery, and any other MD orders for WC patients.
• Communicate all WC patient information daily to MD for appointments (e.g., pre-cert status, availability of light duty, etc.).
• Follow all company policies.
• Other duties as assigned.

Required Qualifications:

• High school diploma or GED is required.
• Experience using a computer and the Microsoft Office software applications (Word, Excel, Outlook) is required.

Preferred Qualifications:

• CWCP or MPWCP Certification is preferred.
• Post-Secondary Education in a certificate or degree program from an accredited school is preferred, with a focus on any of the following:
• Certified LPN
• Certified RN
• Certified Athletic Trainer
• Certified Medical Assistant
• Certified Medical Billing or Coding
• One (1) year of healthcare experience.
• Current experience with an EMR, specifically EPIC, is strongly preferred.
• The ideal candidate will have excellent communication skills (written and verbal) as well as excellent organizational skills.