WORK COMP ASSISTANT - #176361
OAA Orthopaedic Specialists
Date: 2 weeks ago
City: Allentown, PA
Contract type: Full time
Essential Duties And Responsibilities
This job has no supervisory responsibilities.
Education And/or Experience
High school diploma or general education degree (GED). One to three years related experience and/or training; or equivalent combination of education and experience.
Certificates, Licenses, Registrations
None required
Skills And Abilities
Knowledge of Pennsylvania Workers’ Compensation laws, i.e., panels and state/federal pre-authorization requirements
Must be knowledgeable of federal on-line authorization procedures for office visits, diagnostic studies and surgeries
Computer Database software and Internet software
Excellent verbal communication skills
Must be familiar with out-of-state and federal workers’ compensation pre-approval requirements
Other Qualifications
Knowledgeable of individual employer protocols for scheduling
Prior customer service representative experience helpful
Ability to multitask and maintain professional telephone etiquette
Bi-lingual/Spanish skills for interpreting a plus
Other Qualifications
Knowledgeable of individual employer protocols for scheduling
Prior customer service representative experience helpful
Ability to multitask and maintain professional telephone etiquette
Bi-lingual/Spanish skills for interpreting a plus
- Schedules patient appointments for injured workers, physicals, drug/alcohol screens, Fit-for-Duty exams, and Independent Medical Examinations (IME’s).
- Registers the patient and enters employer and insurance information into the computerized scheduler.
- Answers incoming telephone calls and responds accordingly and/or directs caller to appropriate personnel.
- Retrieves messages from voice mail and returns calls.
- Answers questions about organization and provides callers with address, directions, and other information.
- Consults with clinical coordinators, physicians and case manager to determine how or if patients are to be scheduled .
- Works closely with other case management assistants to facilitate departmental communications.
- Scans and labels incoming medical records into the patient’s chart.
- Verifies and coordinates workers’ compensation insurance and eligibility by contacting employers and workers’ compensation insurance carriers.
- Verifies patient’s surgery with workers’ compensation carriers and advises unfavorable responses with patients and physicians.
- Works closely with the organization’s workers’ compensation biller to facilitate the billing process.
- Assists other OAA offices with insurance verification as needed.
- Other duties may be assigned.
This job has no supervisory responsibilities.
Education And/or Experience
High school diploma or general education degree (GED). One to three years related experience and/or training; or equivalent combination of education and experience.
Certificates, Licenses, Registrations
None required
Skills And Abilities
Knowledge of Pennsylvania Workers’ Compensation laws, i.e., panels and state/federal pre-authorization requirements
Must be knowledgeable of federal on-line authorization procedures for office visits, diagnostic studies and surgeries
Computer Database software and Internet software
Excellent verbal communication skills
Must be familiar with out-of-state and federal workers’ compensation pre-approval requirements
Other Qualifications
Knowledgeable of individual employer protocols for scheduling
Prior customer service representative experience helpful
Ability to multitask and maintain professional telephone etiquette
Bi-lingual/Spanish skills for interpreting a plus
Other Qualifications
Knowledgeable of individual employer protocols for scheduling
Prior customer service representative experience helpful
Ability to multitask and maintain professional telephone etiquette
Bi-lingual/Spanish skills for interpreting a plus
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