Work Comp Coordinator

We’re proud to be a leader in the orthopedic healthcare industry and one of the largest orthopedic practices in the Western United States. When you join our team, you become part of a dedicated group of professionals who have the resources, training, and expertise to deliver the most advanced orthopedic care to our patients.

• The Work Comp Coordinator is responsible for supporting the work comp processes within the practice. They will also ensure compliance, coordinate claims, and facilitate return-to-work process

• →Attending regular department meetings

• →Obtaining authorization for services from the patient’s work comp carrier

• →Scheduling appointments in the practice management system

• →Processing all Insurance denials; researching the claim and supplying any necessary information that will generate payment

• →Reviewing all insurance requests and do the necessary follow-up to ensure they have all of the necessary information to process the claim for payment

• →Updating patient insurance information as it is provided and re-bills claims accordingly

• →Responding to written and telephone billing inquiries from patients

• →Following up on requests for refunds, and submits them to the appropriate accounting staff member for processing

• →Appealing incorrect insurance denials

• →Communicating with other departments, staff members and physicians

• →Following up on Work Comp aging

• →Printing out current aging reports for all assigned financial classes

• →Following up on correspondence with patients and insurance companies

• →Maintaining financial class agings at the specified % for each aging bucket

• →Maintaining patient confidentiality; complies with HIPAA and compliance guidelines established by the practice

• →Maintaining knowledge of the practice management software and other computer software as it relates to job function

• →Attending regular department meetings

• →Attends coding or continuing education courses as requested

• →Additional duties as assigned 

• 2 years of experience working in a physician group practice
• Basic knowledge of CPT and ICD-10 coding
• High school diploma or GED certificate, college (preferred)