Workers Compensation Specialist at Pinnacle Orthopaedics & Sports

, Georgia, United States -

Full Time

Start Date

Immediate

Expiry Date

11 Feb, 26

Salary

0.0

Posted On

13 Nov, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Workers' Compensation Claims Processing, Healthcare Administration, Organizational Skills, Time Management, Communication Skills, Confidentiality, Office Software Proficiency, Workers' Compensation Laws, Medical Terminology, Multitasking, Attention to Detail, Record-Keeping

Industry

Medical Practices

Description

Description We are seeking a detail-oriented and proactive Workers' Compensation Specialist to join our dynamic team. This role offers an excellent opportunity to contribute to efficient claims management and support our commitment to employee well-being. The ideal candidate will be organized, communicative, and capable of managing multiple responsibilities in a fast-paced environment. Key Responsibilities: - Fax work status updates and office notes to relevant parties - Process and mail out workers' compensation claims - Obtain necessary information and complete paperwork for Independent Medical Examinations (IMEs) and second opinions - Schedule IME and second opinion appointments, calculate prepayments, and follow up to ensure timely completion - Scan, sort, and prepare all IME and second opinion records for physician review prior to appointments - Serve as a backup for workers' compensation claims processing - Respond to questionnaires from attorneys, labs, and diagnostic providers - Obtain authorizations for all workers' compensation diagnostic tests and physician referrals, including MRI, CT scans, FCE, EMG, DME, work hardening, and consults - Secure surgery authorizations as needed - Coordinate scheduling and follow-up to ensure smooth claims processing and treatment plans Requirements Skills and Qualifications: - Prior experience in workers' compensation claims processing or related healthcare administration - Strong organizational and time management skills - Excellent communication skills, both written and verbal - Ability to handle sensitive information with confidentiality - Proficiency in using office software, including email, scanning, and document management systems - Knowledge of workers' compensation laws, procedures, and medical terminology - Ability to multitask and prioritize in a fast-paced environment - Attention to detail and accuracy in documentation and record-keeping Join our team and be part of a supportive, growth-oriented environment that values professionalism and dedication. We offer opportunities for career development, comprehensive benefits, and a collaborative workplace culture committed to excellence in employee care and service. #PIN

Responsibilities

The Workers' Compensation Specialist will manage claims processing, including scheduling Independent Medical Examinations and obtaining necessary authorizations. This role also involves responding to inquiries from various stakeholders and ensuring timely completion of claims-related tasks.