17480759729 - Compensation & Claims Specialist

"LOOKING FOR FILIPINOS CURRENTLY RESIDING IN THE PHILIPPINES"!!!

Work Hours : TBD

Holidays : TBD

Salary : 900-1,200 USD

Duties and Responsibilities:

• The Compensation Specialist reports to the chief operating officer, and may also have interaction with the CEO.
• Field initial outreach from injured workers or their employers to facilitate services by TOA
• Obtain authorization and pre-certification for services such as examinations, physical therapy, diagnostics and other ancillary services.
• Schedule workers’ compensation appointments, follow-up appointments, and coordinate the scheduling of ancillary services
• Work closely with employers, insurance adjusters, attorneys, an physicians to communicate and collaborate on workers' compensation case issues
• Manage the workflow of assigned workers' compensation cases, including telephone and email inquiries from employers, insurance carriers, and case managers, attorneys regarding injured worker
• Obtain information and entering pertinent data into our computer systems – including the completion and timely distribution of necessary documentation to the proper party
• Following up on payment of various workers compensation cases

Requirements

• At least 1 year medical office administration or clinical experience is preferred, with demonstrated success understanding some experience with Workers' Compensation or an orthopedic office a plus
• Exceptional customer service and patient focus.
• Our Workers' Compensation Specialists must make each encounter as positive as possible, realizing we are there to serve patients, their employers, and other stakeholders in the most professional manner
• Multi-tasking and successfully operating in a fast-paced environment, with the demonstrated ability to handle a high volume of telephonic inquiries and documentation workflow with a high degree of accuracy
• Knowledge of Insurance, particularly workers compensation and health insurance provisions is essential, (particularly in the State of Illinois, if possible).
• Knowledge of administrative and clerical procedures, including experience with computer systems.
• Experience with an EHR (Epic preferred, but not required)
• Focus on attention to detail, ensuring that all documentation is entered accurately and swiftly
• The ability to multi-task and maintain flexibility – including flexibility in work schedules to adjust to necessary clinic hours
• Collaboration, working closely with clinical colleagues and administrative team mates to develop a cohesive, high performing team
• An energetic and enthusiastic pace at work, with the ability to swiftly and accurately manage the flow of patients through the clinic, without any diminishing focus on patient care Dependability, with a reliance on the capacity to be at work on-time, every day so our patients can receive the care they need in a timely manner