- High school diploma or equivalent
- One (1) year relevant work experience that includes precertification in workers' compensation
- Obtain necessary intake information, authorization for initial evaluations and follow-up visits; precertification of diagnostic and radiographic tests, surgeries and other procedures
- Communicate with insurance carrier claim adjusters and nurse case managers via telephone, email and fax
- Act as a liaison between the clinical staff and the work comp claims adjustor/nurse case manager
- Communicate and work closely with insurance and billing, nursing and physician staff
- Maintain patient account information by obtaining, recording and updating medical treatment clearance
- General knowledge of Workers' Compensation and HIPAA regulations
- Corresponds with patients to obtain information needed to file the claim or ensure payment
- Submit reconsiderations or appeals to insurance companies
WorkComp Clerk - Memphis, United States - Semmes-Murphey Clinic
Description
Job Type
Full-time
Description
Semmes Murphey Clinic's mission is to deliver the best care for people suffering from neurological illnesses while advancing the field of neuroscience.
The Workers' Compensation Specialist will work with other members of Semmes Murphey Clinic to provide patient services and is expected to participate in the appropriate team activities with the objective of providing a high standard of patient and clinical service. This position is responsible for obtaining financial medical clearance for patient treatment from various workers' compensation companies as well as addresses claims requiring up-dated patient information or claims that may have been denied by the carrier.
Our employees are our best asset, and that is why we offer an excellent benefit package for full-time employees. We want you to have the resources you need to take care of your family, grow your career, and invest in your future. We offer Medical, Dental and Vision options through BCBS of TN, a Health Savings Plan (HSA) with a dollar-for-dollar company match, company paid life and disability insurance, and a 401K with a 3% match and 10% profit sharing contribution. Not to mention Paid Time Off (PTO) accrues based on hours worked per week and holidays are paid in addition to PTO.
Requirements
Minimum Requirements:
#SMC