Workers Comp Specialist - Morristown, United States - Atlantic Health System

Description

To support the AMG Workers Compensation Program, Atlantic Workers Compensation Covid Recovery Center, and to act as a liaison between all Atlantic entities and our Workers Comp Managed Care Partners/Workers Comp insurance carriers

PRINCIPAL ACCOUNTABILITIES:

+ The Workers Compensation Specialist will act as a liaison between the entry point of a Workers Compensation claimant and all pertinent outpatient facilities involved.

+ The Worker Compensation Specialist will also be the liaison for Workers Compensation Insurance Companies and specialty providers to ensure a seamless transition of information, authorizations, and any other identified documents.

+ Gathers all documentation from visits and submits to the claims adjusters and nurse case managers as required.

+ Obtains all authorizations for services, documents approvals within the Electronic Medical record, and coordinates and schedules all approved services.

+ Provides case coordination and oversight in order to streamline and expedite the provision of medical services to maintain good relationships with insurance carriers and Atlantic Health System.

+ Facilitates all adjuster and nurse case management needs to ensure recurrent referrals.

+ Ensures needs of patients are being met and that quality customer experiences and outcomes are being delivered.

+ Provides education and support to providers and providers' staff to ensure proper pre-service, documentation, and authorizations processes are followed.

+ Works alongside Corporate Health and Managed Care to assist in any other directed care cases as needed.

+ Compiles daily/weekly/monthly data of incoming referrals and indemnity outcomes.

+ Compiles and distributes reports as requested.

QUALIFICATIONS:

Bachelor's degree preferred, High School Required

Physician office experience preferred

Must have Workers Compensation Insurance experience

Proficiency in all Microsoft Office applications

Excellent organizational and workflow skills essential

Must be available to travel to multiple locations

COMPETENCIES:

Successful track record of handling Workers Compensation cases from start to finish

Demonstrated knowledge of medical terminology

Excellent interpersonal communication to maintain positive and productive working relationships

Proficiency with data collection, analysis and reporting

Demonstrated ability to successfully manage multiple tasks simultaneously demonstrating flexibility and creativity.

ABOUT US

At Atlantic Health System, our promise to our communities is; Anyone who enters one of our facilities, will receive the highest quality care delivered at the right time, at the right place, and at the right cost. This commitment is also echoed in the respect, development and opportunities we give to our more than 20,000 team members. Headquartered in Morristown, New Jersey, we are one of the leading non-profit health care systems in the nation. Our facilities and sites of care include:

+ Morristown Medical Center, Morristown, NJ

+ Overlook Medical Center, Summit, NJ

+ Newton Medical Center, Newton, NJ

+ Chilton Medical Center, Pompton Plains, NJ

+ Hackettstown Medical Center, Hackettstown, NJ

+ Goryeb Children's Hospital, Morristown, NJ

+ CentraState Healthcare System, Freehold, NJ

+ Atlantic Home Care and Hospice

+ Atlantic Mobile Health

+ Atlantic Rehabilitation

We also have more than 900 community-based healthcare providers affiliated through Atlantic Medical Group. Atlantic Accountable Care Organization is one of the largest ACOs in the nation, and we are a member of AllSpire Health Partners.

We have received awards and recognition for the services we have provided to our patients, team members and communities. Below are just a few of our accolades:

+ 100 Best Companies to Work For and FORTUNE magazine for 15 years

+ Best Places to Work in Healthcare - Modern Healthcare

+ 150 Top Places to work in Healthcare - Becker's Healthcare

+ 100 Accountable Care Organizations to Know - Becker's Hospital Review

+ Best Employers for Workers over 50 - AARP

+ Gold-Level "Well Workplace": Wellness Council of America (WELCOA)

+ One of the 100 Best Workplaces for Millennials Great Place to Work and FORTUNE magazine

+ One of the 20 Best Workplaces in Health Care: Great Place to Work and FORTUNE magazine

+ Official Health Care Partner of the New York Jets

+ NJ Sustainable Business

EEO STATEMENT

Atlantic Health System, Inc. is an equal employment opportunity employer and federal contractor or subcontractor and therefore abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, citizenship status, disability, age, genetics, or veteran status.