Work Comp Coordinator

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.

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