• Workers Compensation Specialist

    United Musculoskeletal Partners (Marietta, GA)


    DESCRIPTION

    We are seeking a detail-oriented and proactive Workers' Compensation Specialist to join our dynamic team. This role offers an excellent opportunity to contribute to efficient claims management and support our commitment to employee well-being. The ideal candidate will be organized, communicative, and capable of managing multiple responsibilities in a fast-paced environment.

    Key Responsibilities:

    - Fax work status updates and office notes to relevant parties

     

    - Process and mail out workers' compensation claims

     

    - Obtain necessary information and complete paperwork for Independent Medical Examinations (IMEs) and second opinions

     

    - Schedule IME and second opinion appointments, calculate prepayments, and follow up to ensure timely completion

     

    - Scan, sort, and prepare all IME and second opinion records for physician review prior to appointments

     

    - Serve as a backup for workers' compensation claims processing

     

    - Respond to questionnaires from attorneys, labs, and diagnostic providers

     

    - Obtain authorizations for all workers' compensation diagnostic tests and physician referrals, including MRI, CT scans, FCE, EMG, DME, work hardening, and consults

     

    - Secure surgery authorizations as needed

     

    - Coordinate scheduling and follow-up to ensure smooth claims processing and treatment plans

    REQUIREMENTS

    Skills and Qualifications:

    - Prior experience in workers' compensation claims processing or related healthcare administration

     

    - Strong organizational and time management skills

     

    - Excellent communication skills, both written and verbal

     

    - Ability to handle sensitive information with confidentiality

     

    - Proficiency in using office software, including email, scanning, and document management systems

     

    - Knowledge of workers' compensation laws, procedures, and medical terminology

     

    - Ability to multitask and prioritize in a fast-paced environment

     

    - Attention to detail and accuracy in documentation and record-keeping

     

    Join our team and be part of a supportive, growth-oriented environment that values professionalism and dedication. We offer opportunities for career development, comprehensive benefits, and a collaborative workplace culture committed to excellence in employee care and service.

    \#PIN

    **Company:** Pinnacle Orthopaedics & Sports

    **Job Type:** Full-time

    **Address:** 300 Tower NE Rd, Marietta, GA, 30060