Job Description
Job Description
As experts in their fields, our specialists and orthopaedic doctors at Vero Orthopaedics apply their dedication and expertise to provide customized treatment plans focused on your needs and goals. We treat a broad range of orthopaedic and neurologic injuries and conditions and are proud to offer rehabilitative, diagnostic, and other services to keep you moving.
Since 1976, our doctors and specialized staff have been the region's experts in orthopaedic, neurologic, and rehabilitative care. With our commitment to serve the needs of each patient, we proudly offer both innovative and conservative treatments for compassionate, individualized care to members of our communities in Vero Beach, Sebastian, and the surrounding areas.
At Vero Orthopaedics, we know that our employees are our best assets when it comes to providing exceptional orthopaedic care for our patients. It is for this reason that we are dedicated to hiring the most qualified staff to uphold our standards of care.
RESPONSIBLE TO: Billing Admin and Chief Operating Officer
JOB SUMMARY: The Workers' Compensation AR & Coordination Specialist is responsible for coordinating appointments for workers' compensation patients, posting charges for work comp related forms, and managing outstanding encounters with open balances. This role involves close collaboration with various departments, including our in-house PT/OT department. Effective communication with insurance adjusters and nurse case managers to ensure seamless care coordination is a must. The specialist will also work directly with workers' compensation carriers to determine the necessary steps needed on our end to resolve and collect outstanding balances. This position requires strong communication, organizational, and problem-solving skills, with the ability to efficiently manage multiple tasks and work both independently and collaboratively within a team.
EDUCATION/EXPERIENCE REQUIREMENTS: A High School Diploma or equivalent is required. While a college degree is not necessary, a minimum of 2 years of relevant experience in healthcare scheduling, accounts receivable, or administrative support is strongly preferred. This experience should demonstrate the ability to manage multiple tasks efficiently and work collaboratively in a fast-paced environment.
SKILL SET:
- Excellent communication and interpersonal skills.
- Ability to work independently and collaboratively.
- Attention to detail and strong organizational abilities is required.
- Ability to learn new technologies adapted by the practice.
- Efficient workflow management with the ability to handle multiple patient cases or responsibilities at once while maintaining high-quality results.
- Problem solving and critical thinking skills.
REPSONSIBILITIES INCLUDE BUT NOT LIMITED TO:
- Coordinate and schedule appointments for Workers' Compensation (WC) physical therapy and occupational therapy, track appointment counts, and obtain necessary authorizations and billing information.
- Communicate effectively with insurance adjusters and nurse case managers to ensure seamless care coordination.
- Maintain ongoing communication with the Physical Therapy department to ensure a smooth process for WC patients.
- Perform tasks related to the Department of Labor (DOL) portal, including requesting treatment authorizations for claimants and resolving (AR) denials for DOL-related claims.
- Post charges for WC-related forms and no-show appointments.
- Manage incoming WC faxes by sorting, routing to appropriate departments, or filing as necessary.
- Schedule new WC patients as required by the coordination team's needs and patient flow.
- Assist with voicemail and email management to support the work comp coordination team.
- Create cases to attach to physical therapy WC appointments when the payer differs from the primary WC payer.
- Handle WC AR tasks within NextGen.
- Complete AR projects as assigned by department leadership.
- Utilize DaisyBill for the following tasks:
- Manage underpayments related to WC payments.
- Process corrected claims.
- Handle appeals for WC claims.
- Aid with paper denials delivered by USPS as needed.
WORKING CONDITIONS:
- Noise level:Moderate
- Traveling:This position may require limited travel between offices and for conferences. Mileage will be reimbursed by the office.
- Hours: Typical standard office hours are expected but there may be instances where late hours are needed.
- Physical demands: Employee is regularly required to sit, talk or hear. The employee is also required to perform the following: standing, walking, using hands to finger, handle or feel, bending, stooping, lifting up to 20# occasionally, climb or balance, kneel, crouch or crawl.
- Vision requirement: Requires ability to perform close vision, peripheral vision, adjust focus, and spend up to 7-8 hours in front of a computer.
Job Type: Full-time On-Site
Benefits Offered: Medical, Vision, Dental, 401K.
We offer Competitive Pay, Benefits, & Paid Time Off
Monday - Friday
8 a.m. - 5 p.m.
Must pass a background check and drug screen.
Apply Now! Come Join our Team!