Pre-Registration/Workers Compensation Representative

About the position

The Pre-Registration/Workers Compensation Representative at Premier Orthopaedics & Sports Medicine plays a crucial role in ensuring that patients receive the necessary insurance verification and support for their workers' compensation claims. This position involves daily communication with insurance adjustors and nurse case managers, verifying insurance eligibility, and maintaining accurate patient records. The role is essential for facilitating a smooth patient experience and ensuring compliance with relevant regulations.

Responsibilities
? Communicate with workers compensation adjustors and nurse case managers regarding workers compensation benefits.
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? Verify insurance eligibility and workers comp benefits for patients scheduled for services.
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? Obtain referrals from primary care providers and/or insurance websites as assigned.
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? Contact insurance companies via phone, email, or online insurance portals to obtain benefit details.
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? Document and update insurance information in the patient account in the Athena system.
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? Address and resolve any discrepancies related to insurance verification.
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? Maintain detailed notes regarding insurance verification activities in the patient Athena account.
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? Ensure compliance with all federal, state, and local regulations regarding patient privacy and insurance verification processes.

Requirements
? High school diploma or equivalent required.
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? Minimum of 2 years of experience in a healthcare setting, preferably in insurance verification and workers compensation.
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? Familiarity with insurance terms, policies, and procedures.
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? Strong attention to detail and organizational skills.
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? Strong customer service abilities over the phone.
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? Ability to work independently and as part of a team.
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? Understanding of various insurance plans including Workers Comp, HMO's, PPO's, Medicare, and Medicaid.
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? Understanding of Co-pays, Co-insurance, and deductibles.
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? Experience with insurance company web portals.
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? Ability to analyze problems and execute solutions.

Nice-to-haves

Benefits
? Paid holidays
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? Health insurance
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? Dental insurance
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? Work from home
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? Vision insurance
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? 401(k) matching
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? Opportunities for advancement
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? Flexible schedule
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? Life insurance

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