Adeptus Health

Workers Compensation Specialist

US-TX-Lewisville
2 weeks ago
Type
Regular Full-Time
Job ID
10944
Shift
Day
Corporate
Adeptus Health - Corporate

Company Overview

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About Adeptus Health

Adeptus Health is a leading patient-centered healthcare organization expanding access to the highest quality emergency medical care through its network of freestanding emergency rooms and partnerships with premier healthcare providers. All Adeptus Health freestanding facilities are fully equipped emergency rooms with a complete radiology suite of diagnostic technology, on-site laboratory, and staffed with board-certified physicians and emergency trained registered nurses. For the last four years, Adeptus Health has exceeded the 95th percentile in patient satisfaction according to patient feedback collected nationwide by Press Ganey Associates Inc. Adeptus Health also was named a 2016 and 2017 Best Workplaces in Healthcare by Great Place to Work® and Fortune Magazine.  For more information, please visit adpt.com.

Responsibilities

Workers Compensation Specialist is responsible for reviewing Workers Compensation records to determine whether documentation substantiates the medical necessity, quality of care, utilization, and coding of insurance claims. The Workers Compensation Specialist will ensure that data collected for reporting purposes from various departments is within charging practices and departmental policies. This is a non-exempt position.

 

 

Job Responsibilities and Duties

Essential Functions:

  • Ensure all Workers Compensation accounts are reviewed timely
  • Contact employers and insurance carriers to confirm claim details and obtain billing address
  • Communicate carrier information to vendors, to ensure timely delivery of claim to correct party Work collaboratively with Marketing to address any employer billing concerns
  • Serve as primary contact for Workers Compensation inquiries
  • Review and respond to all emails filtered through DL, relating to Workers Compensation
  • Attendance requirements are based on your current role and status of position (FT, PT or PRN). Please direct attendance requirements to your immediate supervisor and/or refer to the Employee Handbook for more attendance/scheduling details/policies

Supervisory Responsibility:

Not responsible for managing any employees.

 

Other Duties:

Please note this job description is not designed to cover in detail, or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

 

Competencies                                                                       

  • Excellent verbal and written communication skills
  • Must be flexible, service oriented, and a team player
  • Strong time management skills
  • Strong attention to detail

Qualifications

Education and Experience:

  • High school diploma required

 

  • Workers Compensation experience a plus
  • Minimum of 2 years’ experience in healthcare billing office
  • Proficiency with Microsoft Office applications, especially Excel, Internet Explorer/Chrome

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