Worker Compensation Specialist Position Available In Lee, Florida
Tallo's Job Summary: Worker Compensation Specialist role involves reviewing worker's compensation accounts, handling inbound calls, and interacting with claims adjustors to verify patient information. Requirements include a high school diploma/GED, one year of medical billing experience, and proficiency in Microsoft applications. This full-time position, based in Fort Myers, FL, offers an opportunity to work in a fast-paced healthcare environment with competitive benefits.
Job Description
Worker Compensation Specialist
Job Category:
Clinic Support
Requisition Number:
WORKE010314
Posting Details
Posted April 29, 2025
Full-Time
Locations
Showing 1 location
Fort Myers, FL 33919, USA
Job Details
Description
ESSENTIAL FUNCTIONS INCLUDE BUT ARE NOT LIMITED TO
- Reviews worker’s compensation accounts and forms for accuracy and completeness.
- Takes inbound calls from patients and insurance to set up patient charts, schedule appointments.
- Answers questions and provides information pertaining to well-defined areas, which require interpretation of the policy.
- Responsible for sending documentation and orders for each patient visit to the correct carrier.
- Interacts with claims adjustors to verify patient’s work status and scheduled appointments.
- Communicates verbally and in writing regarding the interpretation of local and out-of-state guidelines and policies.
- Maintains all records and reports.
- Responds to telephone calls from internal staff, patients, adjusters, and case managers.
- Obtains authorizations for initial visits, surgeries, and physical therapy.
EDUCATION
- High school diploma/GED or equivalent working knowledge preferred.
EXPERIENCE
- One-year medical billing or medical business office experience in a physician office or hospital environment; OR
- Worker’s Compensation experience is preferred.
REQUIREMENTS
- Excellent verbal and written communication skills.
- Experience working with Microsoft applications including Word. Excel, and Outlook.
- Ability to work productively in a fast-paced environment.
- Ability to learn and retain company policies, state and federal policies, and workflow processes.
KNOWLEDGE
- Knowledge of worker’s compensation and/or healthcare insurance
- Knowledge of billing and related functions and tasks.
- Knowledge of worker’s compensation processes and requirements.
- Knowledge of payer-specific requirements, state and federal regulations.
- Knowledge of physician group operation and clinic policies.
- Knowledge of authorization and verification processes.
SKILLS - Skill in the billing authorization process.
- Skill in obtaining necessary approvals for worker’s compensation to reduce denials.
- skill in the collection process for worker’s compensation.
- Skill in Microsoft applications, specifically Excel and Access.
ABILITIES
- Ability to proficiently use arithmetic calculations in data collection and interpretation.
- Ability to use interpersonal skills to establish/maintain cooperative relationships with patients, families, physicians,
management, and other staff. - Ability to communicate openly and honestly with management and staff.
PHYSICAL/MENTAL DEMANDS
- This can occasionally be a high-stress work area requiring the ability to make quick decisions while being organized and
prioritizing appropriately. - Requires sitting and standing associated with a normal office environment.
- Some bending and stretching are required.
- Manual dexterity using a calculator and computer keyboard.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
Outcomes by HOPCo
