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Workers Compensation Representative (72786)

Fixbones

Lancaster, PA

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JOB DETAILS
SKILLS
Address Management, Billing, Calendar Management, Capacity Analysis, Case Management, Certified Medical Assistant, Childcare, Claims Processing, Clinical Support, Communication Skills, Computer Skills, Diversity Recruiting, Documentation, Electronic Medical Records, Epic Systems, Functional Analysis, Healthcare, Licensed Practical Nurse/Licensed Vocational Nurse, Medical Billing, Medical Coding, Medical Records, Microsoft Excel, Microsoft Office, Microsoft Outlook, Microsoft Word, Organizational Skills, Orthopedic Surgery, Orthopedics, Outpatient Care, Patient Care Authorizations, Patient Follow-up, Physical Therapy, Presentation/Verbal Skills, Registered Nurse (RN), Revenue Management, Sports, Training/Teaching, Worker's Compensation, Writing Skills
LOCATION
Lancaster, PA
POSTED
3 days ago
Join Our Team at Orthopedic Associates of Lancaster (OAL)

At Orthopedic Associates of Lancaster (OAL), we're more than just a medical practice-we're a trusted part of the community. For generations, families across Central Pennsylvania have turned to us for expert orthopediccare delivered with compassion, innovation, and integrity.

With five convenient locations-Lancaster, Willow Street, Manheim (at the Spooky Nook Sports Complex), Lebanon, and Ephrata-OAL offers a dynamic and patient-centered work environment. We're proud to be consistently recognized for ourcutting-edge technology, advanced procedures, and warm, professional staff. Our team includes not only leading orthopedic physicians and surgeons, but also dedicated professionals across clinical and administrative roles who make exceptional care possible every day.

OAL is privately owned by our surgeons and supported by a team of 400+ employees who share a commitment to excellence. At our Lancaster and Lebanon campuses, we operate our own outpatient orthopedic surgery center-NPSC-where we perform a wide range of surgeries, including total joint replacements, using the most advanced techniques available.

When you join OAL, you're joining a respected organization where your work makes a difference. Whether you're clinical, clerical, or somewhere in between, we offer a culture of collaboration, opportunity, and purpose-all in service of helping people live stronger, healthier lives.

Summary/Objective:

Partner with the Worker's Compensation team to manage location's Workers' Compensation cases throughout the continuum from initial appointment to patient's release.

Responsibilities:
Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions:
  • Coordination of Workers' Comp: appointments, follow-up, authorizations, communication with Physicians, Case Managers, Employers and Adjusters; attorneys and paralegals with PI cases.
  • Act as employer and Case Manager Liaison by sending clinical notes and supporting documentation to adjusters and case managers daily for previous day
  • Enter guarantor, coverage, and employer information in EMR to ensure correct billing
  • Follow up with patient and adjustor or case manager on all missed appointments.
  • Schedule Workers' Comp Appointments as needed
  • Confirm physician return to work status is completed each visit and send it and dictation to Carrier/Adjustor/Employer immediately after visit.
  • Collaborate with Worker's Compensation Billing Specialist and Revenue Cycle Manager to address and take action to resolve all Workers' Comp issues.
  • Obtain authorization for treatment, Physical Therapy, Functional Capacity Evaluation, Second Opinion, surgery, and any other MD orders for WC patients.
  • Communicate all WC patient information daily to MD for appointments (e.g., pre-cert status, availability of light duty, etc.).
  • Follow all company policies.
  • Other duties as assigned.
Required Qualifications:
  • High school diploma or GED is required.
  • Experience using a computer and the Microsoft Office software applications (Word, Excel, Outlook) is required.
Preferred Qualifications:
  • CWCP or MPWCP Certification is preferred.
  • Post-Secondary Education in a certificate or degree program from an accredited school is preferred, with a focus on any of the following:
    • Certified LPN
    • Certified RN
    • Certified Athletic Trainer
    • Certified Medical Assistant
    • Certified Medical Billing or Coding
  • One (1) year of healthcare experience.
  • Current experience with an EMR, specifically EPIC, is strongly preferred.
  • The ideal candidate will have excellent communication skills (written and verbal) as well as excellent organizational skills.


Our Commitment to Inclusivity:

At OAL and its affiliated organizations, we are dedicated to fostering an inclusive workplace environment. Discrimination against qualified individuals based on protected veteran status, disability, race, color, religion, sex, national origin, sexual orientation/gender identity, or any other legally protected category is strictly prohibited by applicable federal, state, or local laws. We actively engage in affirmative action initiatives to recruit, hire, and promote individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status, or disability.

Equal Employment Opportunity (EEO) Compliance:

We are committed to ensuring accessibility for all users on our website. If you encounter any accessibility issues or require assistance with the application process, please contact our Human Resources department at HR@fixbones.com.

About the Company

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Fixbones

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