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Worker’s Compensation Representative jobs in United States
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Louisiana Orthopaedic Specialists · 2 days ago

Worker’s Compensation Representative

Louisiana Orthopaedic Specialists is seeking a Worker’s Compensation Representative to manage the authorization requests for treatment from worker’s compensation carriers. The role involves correspondence with adjusters and nurse case managers, maintaining records of patient referrals, and operating office equipment to prepare necessary documentation.
Health CareHospitalTherapeutics

Responsibilities

Prepare requests for treatment to be authorized by worker’s compensation carriers, both state and federal claims, via fax, email, and online
Correspond with all worker’s compensation adjusters and nurse case managers to ensure we get a response and that it’s in accordance to guidelines
Prepare 1010A’s and 1009’s when necessary and justified
Keep record of all new patient referrals, patients that do not show up for or cancel their appointments, all requested treatment sent out for approval, and all requested treatment that is denied
Operate office equipment, such as voice mail messaging systems, facsimile, scanner, and use work processing, spreadsheet, or other application to prepare reports, invoices, financial statements, letters, case histories, or medical records

Qualification

Medical billing experienceWorkers compensation knowledgeComputer systems knowledgeMicrosoft ExcelMicrosoft WordMicrosoft OutlookCustomer service skillsOrganizational skillsCommunication skills

Required

High school diploma or GED
Minimum two to three years of experience in medical billing
Medical office experience
Knowledge of workers compensation processes and guidelines
Knowledge of the physician billing processes, 1010A's and 1009's
Knowledge of computer systems
Advanced computer knowledge, including Window based programs
Skill in customer service and an understanding of LOS' code of conduct
Skill in using computer programs and applications including Microsoft Excel, Microsoft Word and Outlook
Skill in establishing good working relationships with both internal and external customers
Ability to multi task in a fast-paced environment
Ability to understand patient demographic information and determine insurance eligibility
Ability to work independently and demonstrate the ability to analyze data

Company

Louisiana Orthopaedic Specialists

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Louisiana Orthopaedic Specialists offers orthopedics, spine, and sports medicine treatments.

Funding

Current Stage
Growth Stage
Company data provided by crunchbase