Workers Compensation Specialist

Workers Compensation Specialist North Las Vegas, NV Job Details Full-time $17 - $20 an hour 20 hours ago Qualifications Collaborate with healthcare professionals Record keeping Workers' compensation law Medical documentation Medical claims processing Medicare Insurance verification Regulatory compliance in claims processing Financial software Mid-level

ICD-9 ICD-10 HCPCS

Records management Medical billing Workers' compensation claims Organizational skills Clerical experience Claims documentation management Document management Managing patient records Medical terminology Healthcare compliance Communication skills File organization DRG Full Job Description Job Summary We are seeking a proactive and detail-oriented Workers Compensation Specialist to join our dynamic team. In this vital role, you will manage all aspects of workers' compensation claims, ensuring accurate processing, timely communication, and compliance with relevant laws and regulations. Your expertise will help streamline claims procedures, support injured employees, and maintain the integrity of medical documentation and billing processes. This position offers an exciting opportunity to contribute to a compassionate and efficient workers' compensation program while utilizing your strong organizational and technical skills. Duties Review and process workers' compensation claims with precision, verifying all necessary medical documentation and insurance details Collaborate with medical providers, insurance carriers, and legal teams to ensure accurate claim adjudication Maintain detailed records of medical reports, billing information, and claim correspondence using comprehensive filing systems Verify insurance coverage, including Medicare and Medicaid requirements, to ensure proper claim handling Utilize medical coding systems such as ICD-9, ICD-10, CPT, HCPCS, DRG, and ICD coding to classify diagnoses and procedures accurately Conduct insurance verification procedures to confirm coverage limits and benefits for injured employees Ensure compliance with workers' compensation law by staying current on legal updates and implementing best practices in claim management Requirements Proven clerical experience with strong organizational skills to manage multiple claims efficiently Familiarity with filing systems—both electronic and paper-based—and maintaining meticulous records Knowledge of medical terminology, medical documentation standards, and medical billing processes Experience with insurance verification procedures for workers' compensation claims Proficiency in medical coding including

ICD-9, ICD-10, CPT

coding, HCPCS codes, DRG classifications, and ICD coding systems Understanding of workers' compensation law and related legal requirements governing claims processing Ability to navigate financial software platforms used for billing and claim management effectively Preferred qualifications include experience in medical records management, familiarity with Medicare regulations related to workers' compensation cases, and a background in handling complex insurance claims within a healthcare or legal setting. Strong communication skills are essential for liaising with healthcare providers, insurers, and injured employees. Join us as a Workers Compensation Specialist to make a meaningful impact by ensuring smooth claims processing while supporting injured workers through compassionate service. Your expertise will help uphold our commitment to fairness, accuracy, and compliance in every case you handle.

Pay:

$17.00 - $20.00 per hour

Work Location:

In person