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Work Comp Coordinator

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The Work Comp Coordinator is responsible for supporting the work comp processes within the practice.

Responsibilities

  • They will also ensure compliance, coordinate claims, and facilitate return-to-work process

You'll Do Attending regular department meetings

  • Obtaining authorization for services from the patient’s work comp carrier
  • Scheduling appointments in the practice management system Processing all Insurance denials; researching the claim and supplying any necessary information that will generate payment
  • Reviewing all insurance requests and do the necessary follow-up to ensure they have all of the necessary information to process the claim for payment
  • Updating patient insurance information as it is provided and re-bills claims accordingly
  • Responding to written and telephone billing inquiries from patients
  • Following up on requests for refunds, and submits them to the appropriate accounting staff member for processing
  • Appealing incorrect insurance denials
  • Communicating with other departments, staff members and physicians

Following up on Work Comp aging

  • Printing out current aging reports for all assigned financial classes
  • Following up on correspondence with patients and insurance companies
  • Maintaining financial class agings at the specified % for each aging bucket
  • Maintaining patient confidentiality; complies with HIPAA and compliance guidelines established by the practice
  • Maintaining knowledge of the practice management software and other computer software as it relates to job function Attending regular department meetings
  • Attends coding or continuing education courses as requested
  • Additional duties as assigned

Requirements

  • 2 years of experience working in a physician group practice

Basic knowledge of CPT and ICD-10 coding

  • High school diploma or GED certificate, college (preferred) What We Offer Collaborative and friendly work environment
  • About Golden State Orthopedics & Spine We’re proud to be a leader in the orthopedic healthcare industry and one of the largest orthopedic practices in the Western United States. When you join our team, you become part of a dedicated group of professionals who have the resources, training, and expertise to deliver the most advanced orthopedic care to our patients.

Benefits

  • Full coverage for Employee PPO Medical insurance 401k and Profit-Sharing Program Paid Vacation, Floating Holidays, Regular Holidays, Sick Time Employee Discount Programs Internal Mobility