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Work Comp Specialist (Full-Time)

Nebraska Orthopaedic Center
  • Lincoln, Nebraska
    7 days ago

    Job Description

    Job Title: Work Comp Specialist 
    *Typical Schedule: Monday-Friday 8:30-5pm
    Job Type: Full Time 
     
    We always strive to make your experience at Nebraska Orthopaedic Center a friendly, comfortable, and positive one. We want you to feel you received the same high-quality care we would offer a member of your own family. At NOC, we strive to be your healing destination.
     
    Essential Functions:
    • Follow up on unpaid claims with insurance company or adjuster.
    • Review and address daily correspondence with insurance companies, attorneys, schedulers, etc.
    • Obtain pre-authorization for NOC physician procedures.
    • Post charges for narrative reports, depositions, talks, etc. and mail claim/statements to the requesting party.
    • Review narrative reports for accuracy and mail to requesting party; communicate with physician as needed.
    • Maintain communication with physician, work comp. adjuster/nurse case manager, and patient to discuss change in work status.
    • Mail treatment claims with reports to work comp. insurance.
    • Responsible for appealing all denials and underpayments of claims.
    • Communicate office notes & work status notes to work comp. adjuster or nurse case manager.
    • Approve medical records to copy records for insurance or attorney.
    • Answer patient's worker's compensation related questions.
    • Set up new Work Comp patients in system.
    • Regular and reliable attendance is an essential function of the job.
    Requirements:                       
    • High School diploma or GED.
    • Knowledge of Work Comp process.                                                 
    • Knowledge of workers compensation practices and business office procedures.
    • Skill in using computer.
    • Ability to work efficiently with others as a team member.
    • Ability to communicate clearly and concisely.                                 
    Our physicians have trained among some of the top medical experts and training facilities in the nation. We place a great deal of value on each and every opportunity we have to assist patients to regain the quality of life they deserve. Our commitment to the University of Nebraska Athletic Department (Husker Team Physicians), area high schools and recreational athletes shows our motivation to minimize an athlete’s downtime so they can compete to the best of their ability. For more information go to: www.nebraskaortho.com
     
    EOE 
    *Schedules can vary depending on department needs.
    Benefits:
    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Disability insurance
    • Employee assistance program
    • Flexible spending account
    • Free parking
    • Health insurance
    • License reimbursement
    • Life insurance
    • Paid time off
    • Tuition reimbursement
    • Vision insurance

    Numbers & Facts

    LocationLincoln, Nebraska
    Websitehttps://nebraskaortho.com/careers/

    Skills

    • Certified Case Manager (CCM)unmatched
    • Claims Processingunmatched
    • Communication Skillsunmatched
    • Dental Insuranceunmatched
    • Employee Assistance Planunmatched
    • Health Insuranceunmatched
    • High School Diplomaunmatched
    • Insuranceunmatched
    • Insurance Claimsunmatched
    • Medical Recordsunmatched
    • Medical Treatmentunmatched
    • Network Operations Centerunmatched
    • Orthopedicsunmatched
    • Quality of Lifeunmatched
    • Reimbursementunmatched
    • Secondary Schoolunmatched
    • Team Playerunmatched
    • Vision Planunmatched
    • Worker's Compensationunmatched

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