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17480759729 - Compensation & Claims Specialist

Remote: 
Full Remote
Experience: 
Junior (1-2 years)
Work from: 

Offer summary

Qualifications:

1 year medical office administration or clinical experience preferred, Exceptional customer service and patient focus.

Key responsabilities:

  • Field initial outreach from injured workers
  • Schedule workers’ compensation appointments
Somewhere logo
Somewhere Human Resources, Staffing & Recruiting SME https://somewhere.com/
1001 - 5000 Employees

Job description

"LOOKING FOR FILIPINOS CURRENTLY RESIDING IN THE PHILIPPINES"!!!

Work Hours : TBD

Holidays : TBD

Salary : 900-1,200 USD 

Duties and Responsibilities: 

  • The Compensation Specialist reports to the chief operating officer, and may also have interaction with the CEO.
  • Field initial outreach from injured workers or their employers to facilitate services by TOA
  • Obtain authorization and pre-certification for services such as examinations, physical therapy, diagnostics and other ancillary services.
  • Schedule workers’ compensation appointments, follow-up appointments, and coordinate the scheduling of ancillary services
  • Work closely with employers, insurance adjusters, attorneys, an physicians to communicate and collaborate on workers' compensation case issues
  • Manage the workflow of assigned workers' compensation cases, including telephone and email inquiries from employers, insurance carriers, and case managers, attorneys regarding injured worker
  • Obtain information and entering pertinent data into our computer systems – including the completion and timely distribution of necessary documentation to the proper party
  • Following up on payment of various workers compensation cases

Requirements

  • At least 1 year medical office administration or clinical experience is preferred, with demonstrated success understanding some experience with Workers' Compensation or an orthopedic office a plus
  • Exceptional customer service and patient focus. 
  • Our Workers' Compensation Specialists must make each encounter as positive as possible, realizing we are there to serve patients, their employers, and other stakeholders in the most professional manner
  • Multi-tasking and successfully operating in a fast-paced environment, with the demonstrated ability to handle a high volume of telephonic inquiries and documentation workflow with a high degree of accuracy
  • Knowledge of Insurance, particularly workers compensation and health insurance provisions is essential, (particularly in the State of Illinois, if possible).
  • Knowledge of administrative and clerical procedures, including experience with computer systems. 
  • Experience with an EHR (Epic preferred, but not required)
  • Focus on attention to detail, ensuring that all documentation is entered accurately and swiftly
  • The ability to multi-task and maintain flexibility – including flexibility in work schedules to adjust to necessary clinic hours
  • Collaboration, working closely with clinical colleagues and administrative team mates to develop a cohesive, high performing team
  • An energetic and enthusiastic pace at work, with the ability to swiftly and accurately manage the flow of patients through the clinic, without any diminishing focus on patient care Dependability, with a reliance on the capacity to be at work on-time, every day so our patients can receive the care they need in a timely manner

Required profile

Experience

Level of experience: Junior (1-2 years)
Industry :
Human Resources, Staffing & Recruiting
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Collaboration
  • Reliability

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