Workers Compensation Specialist
Resurgens Orthopaedics
Date: 1 week ago
City: Flower Mound, TX
Contract type: Full time
Job Type
Full-time
Description
Key Functions
Full-time
Description
- Must be willing to work in Carrollton (Train in Carrollton) a few times a month*
Key Functions
- Obtains complete and accurate patient and injury information before scheduling appointments. Creates and maintains a Medical Chart on all workers comp patients.
- Verifies work related injury information with proper employer personnel.
- Verifies eligibility of injury and insurance benefits with insurance carrier representative.
- Translates between provider and patient as needed.
- Obtains correct insurance carrier billing address and claim number if assigned.
- Ensures proper documentation is attached to billing claims before submission or re- submission of the claims.
- Enters complete and accurate demographics into the billing system to ensure proper billing before the patient's first visit.
- Obtains pre-certifications and authorizations for treatment on a daily basis.
- Ensures completion of all TWCC required forms.
- Performs various collection activities to ensure payment is received and posted for each account. Contacts carriers, patients, or employers as needed to obtain/provide account information.
- Interprets appointment request and schedules patient appointment based on clinic policies. Identifies any problems with making the appointment and advises Physician and/or Manager.
- Checks answering service & reminder call email each morning for patient messages.
- Obtains patient's demographic information, insurance policy and medical issue.
- Informs patient about new patient and payment policies & referrals.
- Verifies insurance for same day add-on appointments.
- Relays relevant information to the Clinic Front Desk, Medical Records and appropriate internal staff when adding or changing an appointment.
- Provides any special needs of the patient to the Physician.
- Answers telephone, screens calls, takes messages, transfers calls to the appropriate area and provides information to keep the patient and clinic staff fully advised regarding appointments scheduled.
- Answers questions regarding patient appointments as requested.
- Makes necessary patient and/or policyholder information corrections in the Appointment System as necessary and advises the Patient and Billing.
- Safeguards patient information and ensures all information remains confidential.
- Request assistance from the Biller or Collectors for difficult account billing questions.
- Participates in office meetings and educational activities.
- Maintains work area in neat and orderly manner.
- High School Diploma or GED, required.
- Must have Worker's Comp experience in a clinical setting-Required
- Referral Intake experience.
- Graduate of accredited program in Medical Administration, preferred.
- Knowledge of TWCC rulings and forms, strongly preferred.
- Ability to read, understand and master policies and regulations.
- Ability to use patient management systems and computer software (e.g., patient billing & collecting system, electronic medical record system, word processing).
- Ability to interact and communicate well with patients, staff, and vendors..(.)
How to apply
To apply for this job you need to authorize on our website. If you don't have an account yet, please register.
Post a resumeSimilar jobs
Social Worker, Care Transition Manager, PRN, Days
Texas Health Resources,
Flower Mound, TX
4 days ago
25000600Care Transition Social WorkerWhat You Will DoResponsible for ensuring patients are transitioned to appropriate levels of care in a timely and effective manner:Completes Transition Evaluations and collects Social Determinants of Health (SDOH) data on patients within 48 hours of identification and begins discharge planning. Assesses and interviews patient and caregivers as part of this evaluation and as needed.Reviews the Risk...
Principal R&D Test Engineer (Hybrid)- Test Architect
Stryker,
Flower Mound, TX
1 week ago
Join Stryker Endoscopy's R&D Test team, where we collaborate closely with Design and Systems to experiment with early prototypes and refine product designs during new product development. Like Mythbusters, we quickly create fixtures to simulate real-world scenarios, identifying and solving issues early to ensure the best outcomes for customers and patients.As a Principal Engineer, Test R&D you'll lead strategic testing...
Associate Project Manager - Remote (Open to candidates in TX, AZ or NM)
Stryker,
Flower Mound, TX
3 weeks ago
What You Will DoAs our Implementation Project Manager you will manage the execution of the implementation of all project scopes including large regional and strategic customer’s solutions for our Emergency Care organization.Will be responsible for independently managing all project scopes including complex and high revenue generating projects based on the guidelines established in the Implementation Process document.Participate in sales process...