Forté Sports Medicine and Orthopedics

Worker's Comp Representative

Forté Sports Medicine and Orthopedics  •  Carmel, IN (Hybrid)  •  5 months ago
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Job Description

Job Location Carmel, IN 46032 Position Type Full Time

objective

Responsible for the accurate and timely handling of worker’s compensation data and ensuing interactions, ensuring appropriate payment of claims. Serve as a knowledgeable liaison with patients, medical providers, employers and insurance companies.

Essential functions

Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.

  • Serve as an effective liaison between a variety of customers including patients, employers, medical providers and staff, and worker’s compensation insurance carriers.
  • Answer high volume of phone calls, utilizing excellent customer service and time management skills.
  • Obtain applicable patient referrals in a timely manner, with accurate documentation
  • Schedule new patient appointments, obtaining appropriate approvals as needed.
  • Send current, comprehensive work status documentation to applicable employers and insurance carriers as needed.
  • Process all aspects of worker’s compensation patient visits, necessary to receive appropriate payment including documenting and entering all pertinent information into the patient electronic health record (EHR).
  • Obtain and manage approvals for surgeries, diagnostic testing, therapy, and injections related to workers’ compensation cases.
  • Track and monitor the progress of authorized procedures and treatments.
  • Process invoices for Permanent Partial Impairment Ratings (PPI), Platelet-Rich Plasma (PRP) injections, and Independent Medical Examinations (IME).
  • Maintain excellent working relationship with all physicians, providers, management, workers, compensation insurance carriers, internal departmental and external business staff, consistently demonstrating a high degree of respect and professionalism.

Competencies (Knowledge/Skills/Abilities)

  • Strong knowledge of front medical office, accounting and insurance practices, with proficiency in worker’s compensation.
  • Maintain knowledge of current practice information per policy/procedures
  • Strong analytical and problem-solving abilities
  • Good communication skills both oral and written
  • Ability to collaborate with cross-functional teams and work effectively in a collaborative environment
  • Precision and accuracy in reviewing documents and patient accounts
  • Experience in computer operations
  • Ability to maintain composure and professionalism in fast paced situations

Supervisory responsibilities

N/A

Work environment

  • Typical hours between Monday – Friday 7:00am to 6:00pm
  • Office equipment: computer, phone, fax
  • Hybrid/Remote position local to Indiana – this position offers a combination of remote work with travel to our physical locations in Central Indiana for training and staff meetings as needed.

Physical demands

  • Sitting, constantly
  • Typing, frequently

Travel required

  • N/A

Required education and experience

At least two (2) years of related work experience in a medical practice office or comparable healthcare setting.

Preferred education and experience

High School Diploma or equivalent required with Associates degree in management, medical billing, accounting and/or healthcare related field preferred.

Worker’s Compensation certification preferred.

Forté Sports Medicine and Orthopedics is an equal opportunity employer and a drug-free workplace.



Qualifications

Forté Sports Medicine and Orthopedics

About Forté Sports Medicine and Orthopedics

Forté Sports Medicine and Orthopedics, previously known as Methodist Sports Medicine, is an independent, physician-owned orthopedic practice recognized as one of the region’s most respected orthopedic groups. Clinical evaluations performed by highly skilled fellowship-trained orthopedic surgeons, combined with advanced surgical techniques and comprehensive non-surgical treatment options, provide patients with exceptional treatment outcomes and a return to active living.

Forté Sports Medicine and Orthopedics provides patients comprehensive orthopedic care in several sub-specialties, including hand, wrist, elbow and shoulder care; foot and ankle care; hip and knee care; joint replacement and revision; spine care and sports medicine. Physicians with Forté Sports Medicine and Orthopedics have been trusted by the Indianapolis Colts as their official team physicians since 1983 and serve as the orthopedic provider for Purdue University, Butler University, Indiana University Kokomo and numerous high schools and public safety departments throughout central Indiana.

Industry
Healthcare & Social Services
Company Size
51-200 employees
Headquarters
Carmel, Indiana
Year Founded
1983
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