Workers Compensation Specialist- Full Time

at  TNT Healthcare Billing Solutions

TNT Healthcare Billing Solutions is seeking a dedicated and detail-oriented Worker’s Compensation Specialist to join our team. The ideal candidate will have a strong background in worker’s compensation claims and billing processes within the healthcare industry. This hybrid position offers the flexibility of working both remotely and on-site to ensure a comprehensive understanding and effective management of worker’s compensation claims.

QUALIFICATIONS:

• Education and Experience:
• Associate’s degree in Business, Healthcare Administration, or a related field, or equivalent work experience.
• Minimum of 1-2 years of experience in worker’s compensation claims management, preferably within the healthcare industry.
• Skills and Abilities:
• Strong understanding of worker’s compensation laws and regulations.
• Excellent organizational and time management skills.
• Proficiency in healthcare billing software and Microsoft Office Suite.
• Strong analytical and problem-solving skills.
• Excellent verbal and written communication skills.
• Ability to work independently and as part of a team in a hybrid work environment.

• Claims Management:
• Review and process worker’s compensation claims from initial filing through resolution.
• Ensure all claims are accurately documented and meet regulatory and company standards.
• Coordinate with healthcare providers, employers, insurance carriers, and injured employees to gather necessary information and documentation.
• Billing and Reimbursement:
• Prepare and submit worker’s compensation claims to appropriate payers.
• Monitor and follow up on unpaid or denied claims, ensuring timely resolution.
• Reconcile payments received against claims submitted to ensure accuracy.
• Compliance and Reporting:
• Stay updated on federal, state, and local worker’s compensation regulations.
• Ensure compliance with all legal and regulatory requirements related to worker’s compensation.
• Generate regular reports on claim status, financials, and other key metrics for internal review.
• Customer Service:
• Serve as a primary point of contact for clients and claimants regarding worker’s compensation issues.
• Provide clear and accurate information to clients and claimants about the status of their claims and any required actions.
• Handle any inquiries or issues with professionalism and sensitivity.