About this role
company
About Golden State Orthopedics & Spine
We’re proud to be a leader in the orthopedic healthcare industry and one of the largest orthopedic practices in the Western United States. When you join our team, you become part of a dedicated group of professionals who have the resources, training, and expertise to deliver the most advanced orthopedic care to our patients.
role
About the Role
- The Work Comp Coordinator is responsible for supporting the work comp processes within the practice. They will also ensure compliance, coordinate claims, and facilitate return-to-work process
What You'll Do
- Attending regular department meetings
- Obtaining authorization for services from the patient’s work comp carrier
- Scheduling appointments in the practice management system
- Processing all Insurance denials; researching the claim and supplying any necessary information that will generate payment
- Reviewing all insurance requests and do the necessary follow-up to ensure they have all of the necessary information to process the claim for payment
- Updating patient insurance information as it is provided and re-bills claims accordingly
- Responding to written and telephone billing inquiries from patients
- Following up on requests for refunds, and submits them to the appropriate accounting staff member for processing
- Appealing incorrect insurance denials
- Communicating with other departments, staff members and physicians
- Following up on Work Comp aging
- Printing out current aging reports for all assigned financial classes
- Following up on correspondence with patients and insurance companies
- Maintaining financial class agings at the specified % for each aging bucket
- Maintaining patient confidentiality; complies with HIPAA and compliance guidelines established by the practice
- Maintaining knowledge of the practice management software and other computer software as it relates to job function
- Attending regular department meetings
- Attends coding or continuing education courses as requested
- Additional duties as assigned
What We're Looking For:
- 2 years of experience working in a physician group practice
- Basic knowledge of CPT and ICD-10 coding
- High school diploma or GED certificate, college (preferred)
What We Offer
- Collaborative and friendly work environment
- Full coverage for Employee PPO Medical insurance
- 401k and Profit-Sharing Program
- Paid Vacation, Floating Holidays, Regular Holidays, Sick Time
- Employee Discount Programs
- Internal Mobility