Workers Compensation Specialist
Netminers, Columbia, TN, United States
Description
Tennessee Orthopaedic Alliance is the largest orthopaedic surgery group in Tennessee. TOA concentrates on the diagnosis and treatment of disorders and injuries of the musculoskeletal system and allows our patients to live their best lives. For 90+ years we have advanced orthopaedic surgery throughout the state.
Why Work with Us
Stability – TOA has been in Middle Tennessee since 1926 and operates over 20 locations across the state.
Impact – Our team members use their careers, whether in clinics or the business office, to make a positive difference in the community by building relationships and helping patients live their best lives.
Work Environment – The team focuses on fostering an excellent environment of positivity, collaboration, job satisfaction, and engagement.
Total Rewards – TOA offers a comprehensive suite of benefits, including Medical, Dental, Paid Time Off, and more. The 401(k) plan provides company match, safe harbor match, and profit‑sharing match.
Position: Workers' Compensation Specialist
This role coordinates care for patients using Workers' Compensation benefits, ensuring appointments are scheduled correctly and smoothly. The specialist reports directly to the site manager and may interact with the Director of Workers Compensation.
Field initial outreach from injured workers or their employers to facilitate services by TOA.
Obtain authorization and pre‑certification for services such as examinations, physical therapy, diagnostics and other ancillary services.
Schedule workers’ compensation appointments, follow‑up appointments, and coordinate ancillary services.
Work closely with employers, insurance adjusters, attorneys, and physicians to communicate and collaborate on workers' compensation case issues.
Manage the workflow of assigned workers' compensation cases, including telephone and email inquiries from employers, insurance carriers, and case managers.
Obtain information and enter pertinent data into our computer systems, ensuring timely distribution of necessary documentation to the proper party.
Requirements
Bachelor’s Degree preferred; high school diploma or equivalent required.
At least one year of medical office administration or clinical experience preferred; experience with Workers' Compensation or orthopedic office a plus.
Exceptional customer service and patient focus.
Multitasking ability in a fast‑paced environment, handling a high volume of telephone inquiries and documentation workflow accurately.
Knowledge of workers' compensation and health insurance provisions essential.
Experience collecting co‑payment, deductibles, coinsurance, and balances.
Knowledge of administrative and clerical procedures; experience with EHR or NextGen a plus.
Attention to detail and accuracy in documentation.
Flexibility to adjust work schedule as needed to meet clinic hours.
Collaborative team player working closely with clinical and administrative colleagues.
Dependability; reliable punctuality and consistent presence to provide timely patient care.
TOA is an equal‑opportunity employer. TOA conducts drug screens and background checks on applicants who accept employment offers.
#J-18808-Ljbffr
Tennessee Orthopaedic Alliance is the largest orthopaedic surgery group in Tennessee. TOA concentrates on the diagnosis and treatment of disorders and injuries of the musculoskeletal system and allows our patients to live their best lives. For 90+ years we have advanced orthopaedic surgery throughout the state.
Why Work with Us
Stability – TOA has been in Middle Tennessee since 1926 and operates over 20 locations across the state.
Impact – Our team members use their careers, whether in clinics or the business office, to make a positive difference in the community by building relationships and helping patients live their best lives.
Work Environment – The team focuses on fostering an excellent environment of positivity, collaboration, job satisfaction, and engagement.
Total Rewards – TOA offers a comprehensive suite of benefits, including Medical, Dental, Paid Time Off, and more. The 401(k) plan provides company match, safe harbor match, and profit‑sharing match.
Position: Workers' Compensation Specialist
This role coordinates care for patients using Workers' Compensation benefits, ensuring appointments are scheduled correctly and smoothly. The specialist reports directly to the site manager and may interact with the Director of Workers Compensation.
Field initial outreach from injured workers or their employers to facilitate services by TOA.
Obtain authorization and pre‑certification for services such as examinations, physical therapy, diagnostics and other ancillary services.
Schedule workers’ compensation appointments, follow‑up appointments, and coordinate ancillary services.
Work closely with employers, insurance adjusters, attorneys, and physicians to communicate and collaborate on workers' compensation case issues.
Manage the workflow of assigned workers' compensation cases, including telephone and email inquiries from employers, insurance carriers, and case managers.
Obtain information and enter pertinent data into our computer systems, ensuring timely distribution of necessary documentation to the proper party.
Requirements
Bachelor’s Degree preferred; high school diploma or equivalent required.
At least one year of medical office administration or clinical experience preferred; experience with Workers' Compensation or orthopedic office a plus.
Exceptional customer service and patient focus.
Multitasking ability in a fast‑paced environment, handling a high volume of telephone inquiries and documentation workflow accurately.
Knowledge of workers' compensation and health insurance provisions essential.
Experience collecting co‑payment, deductibles, coinsurance, and balances.
Knowledge of administrative and clerical procedures; experience with EHR or NextGen a plus.
Attention to detail and accuracy in documentation.
Flexibility to adjust work schedule as needed to meet clinic hours.
Collaborative team player working closely with clinical and administrative colleagues.
Dependability; reliable punctuality and consistent presence to provide timely patient care.
TOA is an equal‑opportunity employer. TOA conducts drug screens and background checks on applicants who accept employment offers.
#J-18808-Ljbffr