Workers Compensation Specialist

Job Description

To support the AMG Workers Compensation Program, Atlantic Workers’ Compensation Covid Recovery Center, and to act as a liaison between all Atlantic entities and our Workers' Comp Managed Care Partners/Workers' Comp insurance carriers.

Principal Accountabilities

• The Workers’ Compensation Specialist will act as a liaison between the entry point of a Workers’ Compensation claimant and all pertinent outpatient facilities involved.
• The Worker Compensation Specialist will also be the liaison for Workers’ Compensation Insurance Companies and specialty providers to ensure a seamless transition of information, authorizations, and any other identified documents.
• Gathers all documentation from visits and submits to the claims’ adjusters and nurse case managers as required.
• Fields medical records requests systemwide for work related services.
• Obtains all authorizations for services, documents approvals within the Electronic Medical record, and coordinates and schedules all approved services.
• Provides case coordination and oversight in order to streamline and expedite the provision of medical services to maintain good relationships with insurance carriers and Atlantic Health System.
• Facilitates all adjuster and nurse case management needs and requests to ensure recurrent referrals.
• Ensures needs of patients are being met and that quality customer experiences and outcomes are being delivered.
• Provides education and support to providers and providers' staff to ensure proper pre-service, documentation, and authorizations processes are followed. May require travel.
• Works alongside Corporate Health and Managed Care to assist in any other directed care cases as needed, including, but not limited to, executive health, occupational health placed practices as well as international, self pay, and vendor bundled cases.
• Assists Corporate Health business development leadership with day to day requests, services issues, and provider relations follow ups.
• Works alongside urgent care and initial care sites to track and capture leakage of patients to ensure continuity of care within Atlantic Health System.
• Monitors and completes work queue tasks for injured workers entering system through our urgent cares, systemwide.
• Assists in the development of educational content used for provider training for quarterly and yearly webinar/in person trainings.
• Compiles daily/weekly/monthly data of incoming referrals and indemnity outcomes.
• Creates Episodes of care.
• Compiles and distributes reports as requested.
• Participates in project based work as requested.
  
  
  

Qualifications

Education/Experience

• Bachelor's degree preferred, High School Degree Required.
• Physician office experience preferred
• Must have Worker’s Compensation Insurance experience
• Proficiency in all Microsoft Office applications
• Excellent organizational and workflow skills essential
• Must be available to travel to multiple locations
  
  
  

Competencies

• Successful track record of handling Workers’ Compensation cases from start to finish
• Demonstrated knowledge of medical terminology
• Excellent interpersonal communication to maintain positive and productive working relationships
• Proficiency with data collection, analysis and reporting
• Demonstrated ability to successfully manage multiple tasks simultaneously demonstrating flexibility and creativity.
  
  
  

About Us

At Atlantic Health System, our promise to our communities is; Anyone who enters one of our facilities, will receive the highest quality care delivered at the right time, at the right place, and at the right cost. This commitment is also echoed in the respect, development and opportunities we give to our more than 20,000 team members. Headquartered in Morristown, New Jersey, we are one of the leading non-profit health care systems in the nation. Our facilities and sites of care include:

• Morristown Medical Center, Morristown, NJ
• Overlook Medical Center, Summit, NJ
• Newton Medical Center, Newton, NJ
• Chilton Medical Center, Pompton Plains, NJ
• Hackettstown Medical Center, Hackettstown, NJ
• Goryeb Children's Hospital, Morristown, NJ
• CentraState Healthcare System, Freehold, NJ
• Atlantic Home Care and Hospice
• Atlantic Mobile Health
• Atlantic Rehabilitation
  
  
  

We also have more than 900 community-based healthcare providers affiliated through Atlantic Medical Group. Atlantic Accountable Care Organization is one of the largest ACOs in the nation, and we are a member of AllSpire Health Partners.

We Have Received Awards And Recognition For The Services We Have Provided To Our Patients, Team Members And Communities. Below Are Just a Few Of Our Accolades

• 100 Best Companies to Work For ® and FORTUNE® magazine for 15 years
• Best Places to Work in Healthcare - Modern Healthcare
• 150 Top Places to work in Healthcare - Becker's Healthcare
• 100 Accountable Care Organizations to Know - Becker's Hospital Review
• Best Employers for Workers over 50 - AARP
• Gold-Level "Well Workplace": Wellness Council of America (WELCOA)
• One of the 100 Best Workplaces for “Millennials” Great Place to Work® and FORTUNE® magazine
• One of the 20 Best Workplaces in Health Care: Great Place to Work® and FORTUNE® magazine
• Official Health Care Partner of the New York Jets
• NJ Sustainable Business
  
  
  

Team Member Benefits

Atlantic Health System offers a competitive and comprehensive Total Rewards package that supports the health, financial security, and well-being of all team members. Offerings vary based on role level (Team Member, Director, Executive). Below is a general summary, with role-specific enhancements highlighted:

• Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team members)
• Life & AD&D Insurance.
• Short-Term and Long-Term Disability (with options to supplement)
• 403(b) Retirement Plan: Employer match, additional non-elective contribution
• PTO & Paid Sick Leave
• Tuition Assistance, Advancement & Academic Advising
• Parental, Adoption, Surrogacy Leave
• Backup and On-Site Childcare
• Well-Being Rewards
• Employee Assistance Program (EAP)
• Fertility Benefits, Healthy Pregnancy Program
• Flexible Spending & Commuter Accounts
• Pet, Home & Auto, Identity Theft and Legal Insurance
  
  
  

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Note: In Compliance with the NJ Pay Transparency Act (effective Sunday, June 1, 2025), all job postings will include the hourly wage or salary (or a range), as well as this summary of benefits. Final compensation and benefit eligibility may vary by role and employment status and will be confirmed at the time of offer.

EEO STATEMENT

Atlantic Health System, Inc. is an equal employment opportunity employer and federal contractor or subcontractor and therefore abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, citizenship status, disability, age, genetics, or veteran status.

About The Team

Atlantic Health System is at the forefront of medicine, setting standards for quality health care powered by a workforce of more than 18,000 team members and 4,800 affiliated physicians dedicated to building healthier communities, the system offers more than 400 sites of care, including eight award-winning medical centers. Specializing in cardiovascular care, cancer care, orthopedics, neuroscience, pediatrics, women's health and rehabilitation medicine. Atlantic Medical Group, comprised of 1,000 physicians and advanced practice providers, represents one of the largest multi-specialty practices in New Jersey and includes finance, legal, marketing, human resources, talent acquisition, ISS and more. Caring for our patients, our team members and the communities we serve is our central mission.