The role of the Workers’ Compensation Specialist is to manage Workers’ Compensation claims by communicating with hospitals, employers, adjusters, attorneys and the patient. This position requires a great amount of organizational skills along with the ability to multi-task, as the Workers’ Compensation Administrator is continuously receiving and processing information. This position will be the point person between RevClaims, the provider and the insurance company.
- Gather information by making patient, adjuster calls, and employer calls.
- Input patient and liable third party information into RevClaims from provider systems; basic to cross-informational data entry.
- Receive and process insurance information and forms from patients, insurance companies, and attorneys.
- Process additional information and request from patients, insurance companies, and attorneys on the billing of patient treatment.
- Review and manage patient accounts to ensure that proper documentation, payments, and necessary letters of authorization are entered correctly.
- Manage patient accounts through the company’s database and coordinate with the home office in regards to medical information and billing to third parties.
- Technology based testing participation.
- Regular and timely attendance.
- Other duties as assigned.
Associate’s Degree in a Healthcare related field preferred.
Experience in lieu of education: if a candidate does not have the educational requirement, three years of insurance, medical billing, and/or legal work can be substitute for the education requirement. It will be left to the candidate to explain in a cover letter how previous work experience is applicable to this position.
Experience in insurance, medical billing, workers’ compensation, and/or legal work preferred.
- Basic keyboard skills and computer knowledge
- Excellent communication skills
- Excellent telephone skills, including use of multi-line phone
- Professional demeanor and attitude
- Ability to work effectively with others
- Medical terminology helpful.
- Excellent organizational skills
- Attention to detail
- Ability to read and interpret basic business correspondence, safety instructions, operating instructions, and policy manuals.
- Ability to write routine business correspondence.
- Ability to speak effectively and communicate with physicians, patients, and other staff members.
- Ability to speak Spanish is not required, but will be considered a plus in an applicant.