Workers Compensation Specialist
Location
Morristown, NJ | United States
Job 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.
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.
Qualifications:
- Bachelor’s degree preferred, High School Degree Required
- Physician office experience preferred
- Must have Worker’s Compensation Insurance experience
- Proficiency in all Microsoft Office applications
- Excellent organizational and workflow skills essential
- Must be available to travel to multiple locations
Job tags
Salary