Workers Compensation Administrator II administers the workers' compensation program for an organization. Implements a consistent process for recording, investigating, and reporting workers' compensation claims complying with laws and regulations. Being a Workers Compensation Administrator II prepares and submits required reporting and documentation to OSHA, state and local agencies, and other entities. Monitors all claims and liaises with the employees, managers, insurance representatives, union representatives, medical staff, and attorneys involved with a case. Additionally, Workers Compensation Administrator II communicates case status details and necessary information to involved parties, including notifications of hearings, outcomes, return to work, or restrictions. Performs periodic reviews of overall cases to identify trends. Maintains up-to-date knowledge of all regulations and laws for reporting workers' compensation. May coordinate or assist with safety programs focused on injury prevention or facilitate accommodations for workers. May require a bachelor's degree. Typically reports to a manager. The Workers Compensation Administrator II occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Workers Compensation Administrator II typically requires 2 -4 years of related experience. (Copyright 2024 Salary.com)
Position Summary: The Workers Comp / Insurance Verification and Precertification Specialist is responsible for the verification of all patients benefits and authorizations prior to Surgery. MUST HAVE EXTENSIVE EXPERIENCE WITH WORKER'S COMPENSATION VERIFICATION / AUTHORIZATION PROCESSES as well as all Insurance benefits and procedures that are verified utilizing on-line insurance website resources as well as outbound phone calls to insurance companies. This position also obtains any demographic or insurance information required to verify the insurance. Once the insurance has been confirmed active, benefits are documented in the scheduling system and an active surgical appointment is booked with necessary notes regarding collections of deposits, etc.
Reports to: Director of Business Office
Flexibility: While this job description is meant to provide an overview and specific responsibilities of the Insurance Verification, Benefits, & Authorization Coordinator, JASC Management reserves the right to make changes, adjustments and revisions, as needed, to this document and will coordinate such modifications with JASC's Practice Administrator and Billing Office Directors.
Summary of General Duties:
*** Extensive communication with worker's compensation adjustors obtaining billing and authorization information.
Working Environment:
Physical demands:
Ability to grasp with both hands; pinch with thumb or forefinger; turn with hand/arm; reach for (above shoulder height)
Ability to type 60 wpm.
Ability to operate multi-line telephone system, computer keyboard and ten-key adding machine.
Position Requirements:
Benefit Conditions:
Work Remotely
Job Type: Full-time
Pay: From $16.00 per hour
Expected hours: 40 per week
Benefits:
Schedule:
Education:
Experience:
Work Location: In person