What are the responsibilities and job description for the Legal/Worker's Compensation Scheduler position at Healthcare Outcomes Performance Co. (HOPCo)?
Center for Bone & Joint Surgery of the Palm Beaches is a multi-location medical practice devoted to the diagnosis and treatment of injuries and diseases of the body's musculoskeletal system. Our locations feature a staff of highly trained orthopedic surgeons, each with a specific area of expertise.
Center for Bone & Joint Surgery of the Palm Beaches offers a team approach to your care and provides a variety of services right on campus designed for your convenience and ensuring an outstanding continuum of care. These include on-site X-ray, on-site MRI, on-site physical therapy, and aquatic therapy.
As Center for Bone & Joint Surgery of the palm Beaches continues to grow, we are looking for a Legal/Worker's Compensation Scheduler. Please see below for the functions and requirements for this position.
Essential Functions
Center for Bone & Joint Surgery of the Palm Beaches offers a team approach to your care and provides a variety of services right on campus designed for your convenience and ensuring an outstanding continuum of care. These include on-site X-ray, on-site MRI, on-site physical therapy, and aquatic therapy.
As Center for Bone & Joint Surgery of the palm Beaches continues to grow, we are looking for a Legal/Worker's Compensation Scheduler. Please see below for the functions and requirements for this position.
Essential Functions
- Reviews worker’s compensation accounts and forms for accuracy and completeness.
- 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 the policy.
- Responsible for sending documentation and orders for each patient visit to the correct carrier.
- Interacts with claims adjustors to verify patient's work status and scheduled appointments.
- Communicates verbally and in writing regarding the interpretation of local and out-of-state guidelines and policies.
- Maintains all records and reports.
- Responds to telephone calls from internal staff, patients, adjusters, and case managers.
- Obtains authorizations for initial visits, surgeries, and physical therapy.
- High school diploma/GED or equivalent working knowledge preferred.
- One-year medical billing or medical business office experience in a physician office or hospital environment; OR
- Worker’s Compensation experience is preferred.
- 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.
- Knowledge of worker’s compensation and/or healthcare insurance
- Knowledge of billing and related functions and tasks.
- Knowledge of worker’s compensation processes and requirements.
- Knowledge of payer-specific requirements, state and federal regulations.
- Knowledge of physician group operation and clinic policies.
- Knowledge of authorization and verification processes.
- Skill in the billing authorization process.
- Skill in obtaining necessary approvals for worker’s compensation to reduce denials.
- skill in the collection process for worker’s compensation.
- Skill in Microsoft applications, specifically Excel and Access.
- Competitive Health & Welfare Benefits
- Monthly $43 stipend to use toward ancillary benefits
- HSA with qualifying HDHP plans with company match
- 401k plan with company match
- Employee Assistance Program that is available 24/7 to provide support
- Paid Time Off
- Paid Holidays
- Monday - Friday
- No weekends
- Mileage reimbursement
- and more...
Salary : $43