Workers Compensation Specialist

Worker's Compensation Specialist Conway Medical Center • CMC Orthopedics Conway, SC Administrative/Clerical Full Time, Primarily 1st Shift- Days, 80 Posted 03/09/2026 Req # 12962

Position Summary:

The Workers' Compensation Specialist will primarily support the Orthopedic physicians. The WCS will work closely with nurse case managers, insurance adjusters, attorneys, and other stakeholders to ensure smooth and efficient coordination of workers'pensation cases. The WCS will manage a wide range of tasks, including invoicing, assisting with Maximum Medical Improvement (MMI) determinations, arranging second opinions, coordinating Independent Medical Examinations (IMEs), and handling takeover of care requests.

Qualifications:

Education:

High School Diploma or equivalent required. Experience Previous experience coordinating workers'pensation cases in a healthcare setting. Familiarity with medical billing, coding, and invoicing related to workers'pensation. Experience working directly in workers'pensation, preferably within an orthopedic setting. Strong understanding of workers'pensation processes, regulations, and medical terminology. Excellentanizational and multitasking skills with a keen attention to detail. Strong interpersonal andmunication skills, with the ability to build and maintain professional relationships with various stakeholders. Proficiency in using electronic medical records (EMR) systems and other relevant software. Ability to work independently and collaboratively in a fast-paced environment.

Duties & Responsibilities:

Collaborate with Orthopedic physicians to manage and coordinate all aspects of workers'pensation cases. Serve as the primary point of contact between the clinic, nurse case managers, insurance adjusters, and attorneys. Oversee the preparation, submission, and tracking of invoices related to workers'pensation cases. Facilitates opportunities of growth Assist in determining Maximum Medical Improvement (MMI) and ensure appropriate documentation is provided. Coordinate second opinions and Independent Medical Examinations (IMEs) as required. Manage and process takeover of care requests, ensuring a seamless transition for new cases. Maintain accurate records and documentation inpliance with relevant regulations andanizational policies. Communicate effectively with all stakeholders to provide updates, answer inquiries, and resolve any issues promptly. Proactively identify opportunities to increase the volume of worker'spensation cases by building and strengthening relationships with referring entities, such as employers, insurancepanies, and case managers. Stay informed on changes in workers'pensation laws, regulations, and best practices to ensurepliance and provide quality service.