What are the responsibilities and job description for the Worker's Compensation Authorization Specialist position at Primus Ortho?
Multidisciplinary orthopedic and physical therapy private practice with 3 doctors is seeking a full-time, Worker’s Compensation Authorization Specialist with excellent customer service skills, and a strong ability to multitask. This position requires organization, teamwork, and the natural ability to be warm and compassionate to our patients. This position requires the ability to learn new procedures quickly, and have the ability to communicate professionally with insurance companies, Adjusters, Nurse Case Managers, Attorneys and other healthcare professionals. Although having customer service experience is important, we are seeking someone with BOTH customer service qualities and a strong worker's compensation background!!!!
Daily duties include but are not limited to: • Answering phones & e-mail for Workers' Compensation & Personal Injury Department.• Initiation and follow up for Workers' Compensation treatment authorizations.• Online and telephonic insurance verification for orthopedic, physical therapy and medication authorizations.• Correspondence with attorneys, adjusters and nurse case managers for Worker's Compensation and Personal Injury cases.• Correspondence with referring doctors and facilities.• Facilitate Peer to Peer discussions between Physicians. • Ensuring WMC patient’s insurance/case information is accurate prior to each visit. • Correspondence with Practice Administrator, billing department staff, patients and doctors on case status.
Maintaining a positive relationship with all attorneys, case managers and other interdisciplinary team members
The ideal applicant enjoys working in an extremely fast-paced environment, has a take-charge attitude, and the desire to take on additional duties and responsibilities.
Salary is commensurate with experience and salary history. Benefits include health & dental insurance, paid vacation, paid holidays, 401 k options and a fantastic support staff!