Workers Compensation Precert Coordinator - Athens, United States - Athens Orthopedic Clinic

Description

Position summary:

Responsible for verifying Workers' Compensation coverage for patients, scheduling and coordinating new and existing Workers' Compensation patients and obtaining authorization for procedures and services. This is a full time position M-F in our Occupational Health Facility Athens, GA. This position reports directly to the Director of Workers' Compensation.

Essential Functions:

•Verifies Workers' Compensation coverage for patients and obtains authorization, demographics, billing and other information.

•Coordinates and reschedules new and existing WC patient appointments

•Obtains authorization for diagnostic tests and surgeries

•Acts as a liaison between the WC representatives and office staff involving authorizations and coordinating follow up care.

•Updates patients records

•Sends medical records, work status forms, and other information to the WC representatives as required.

•Performs other duties as assigned

Job Requirements:

•Exceptional customer service skills

•Knowledge of basic medical terminology and medical office procedures

•Strong computer and telephone skills

•Knowledge of Workers' Compensation Insurance and/or prior authorizations in a medical office setting preferred

•Ability to handle multiple simultaneous tasks effectively and efficiently while maintaining a professional, courteous manner

•Excellent communications skills, both oral and written

•Ability to problem solve

•Ability to establish and maintain working relationships with staff, co-workers, patients and WC representatives.

Education and/or experience:

• High School diploma or GED and previous experience in a medical office setting.
• Previous Workers' Compensation, medical scheduling and/or insurance pre-verification experience preferred.