Worker's Comp & No Fault Coordinator
Spire Orthopedic Partners, Model City, NY, United States
Hours
Monday-Friday 8:00 am - 5:00 pm
Who We Are
Spire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support, capital and operational resources physicians need to grow thriving practices for the future. As a Management Services Organization (MSO), Spire provides the infrastructure for administrative operations that allows practices to operate at their highest level, so doctors can focus their efforts on what matters most – patient care. Headquartered in Stamford, Connecticut, the Spire network spans the Northeast with more than 165 physicians, 1,800 employees, 285 other clinical providers and 40 locations in New York, Connecticut, Rhode Island and Massachusetts.
Responsibilities/Duties
Coordinate and collect necessary information from staff, patients, employers, adjusters and payers for claim adjudication
Communicating directly with insurance carriers on Workers Compensation accounts to verify the cases are open and enter all documentation that includes attorney contacts, case, carrier, date of accident, date of injury and appropriate body part
AR follow up
Correspondence review
Payment posting discrepancies
Adheres to all HIPAA guidelines and regulation
Validate WC insurance using the board website
Review and submit authorizations via WCB Board for applicable payers
Communicate denials with Clinical and Ops Team
Communicate approvals with patient and scheduling vendors
Handle inbound questions regarding authorization and claim statuses
Work closely with our authorization vendor to ensure timely and accurate authorization submissions
Qualifications
High School Diploma or equivalent GED
Excellent oral, written, computer and customer service skills
Experience working in a medical office preferred
Ability to work independently and in a team environment
Must have attention to detail with an eye for accuracy
Strong follow-up and organizing skills
Working knowledge of medical terminology, abbreviations, and anatomy.
Worker’s compensation experience for New York required
Experience with filing claims electronically and on paper
Experience with Microsoft Excel and Word
What We Offer
Excellent growth and advancement opportunities
Dynamic environment
Access to a diverse network of practitioners
Broad infrastructure of tools and programs to enhance the employee experience
Competitive Compensation
Generous PTO
Benefits package: health, dental, vision, 401(k)
We are an equal‑opportunity employer. Qualified Applicants are considered for positions and are evaluated without regard to actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex, or gender (including pregnancy, childbirth, and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws and ordinances (referred to as “protected characteristics”).
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Monday-Friday 8:00 am - 5:00 pm
Who We Are
Spire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support, capital and operational resources physicians need to grow thriving practices for the future. As a Management Services Organization (MSO), Spire provides the infrastructure for administrative operations that allows practices to operate at their highest level, so doctors can focus their efforts on what matters most – patient care. Headquartered in Stamford, Connecticut, the Spire network spans the Northeast with more than 165 physicians, 1,800 employees, 285 other clinical providers and 40 locations in New York, Connecticut, Rhode Island and Massachusetts.
Responsibilities/Duties
Coordinate and collect necessary information from staff, patients, employers, adjusters and payers for claim adjudication
Communicating directly with insurance carriers on Workers Compensation accounts to verify the cases are open and enter all documentation that includes attorney contacts, case, carrier, date of accident, date of injury and appropriate body part
AR follow up
Correspondence review
Payment posting discrepancies
Adheres to all HIPAA guidelines and regulation
Validate WC insurance using the board website
Review and submit authorizations via WCB Board for applicable payers
Communicate denials with Clinical and Ops Team
Communicate approvals with patient and scheduling vendors
Handle inbound questions regarding authorization and claim statuses
Work closely with our authorization vendor to ensure timely and accurate authorization submissions
Qualifications
High School Diploma or equivalent GED
Excellent oral, written, computer and customer service skills
Experience working in a medical office preferred
Ability to work independently and in a team environment
Must have attention to detail with an eye for accuracy
Strong follow-up and organizing skills
Working knowledge of medical terminology, abbreviations, and anatomy.
Worker’s compensation experience for New York required
Experience with filing claims electronically and on paper
Experience with Microsoft Excel and Word
What We Offer
Excellent growth and advancement opportunities
Dynamic environment
Access to a diverse network of practitioners
Broad infrastructure of tools and programs to enhance the employee experience
Competitive Compensation
Generous PTO
Benefits package: health, dental, vision, 401(k)
We are an equal‑opportunity employer. Qualified Applicants are considered for positions and are evaluated without regard to actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex, or gender (including pregnancy, childbirth, and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws and ordinances (referred to as “protected characteristics”).
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