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Form of workAre you great at communication and highly organized? Look no further! Precision Orthopaedics is hiring a Workers Compensation Representative! In this position, you will act as the liaison for the injured worker and the practice to ensure that all parties understand what is allowed within the approved claim. You will also communicate with case workers, employers, and attorneys to ensure that the injured worker is treated in a timely manner.
Position Summary:
Serves as external and internal relations for injured worker and group practice. Responsible for resolution of any issues for which claim may be disallowed. Facilitates access to treatment of a compensable injury or condition.
Position Responsibilities/Standards:
General
- Attend department, clinic or company meetings as required
- Demonstrate sound judgment by taking appropriate actions regarding questionable findings or concerns
- Consistently work in a positive and cooperative manner with fellow staff members.
- Consistently demonstrate ability to respond to changing situations in a flexible manner in order to meet current needs, such as reprioritizing work as necessary.
- Attend required annual in-service programs.
- Demonstrate knowledge and understanding of all company policies and procedures.
- Adheres to established facility safety requirements and procedures to ensure a safe working environment. Identifies potentially unsafe situations and notifies supervisor
Specific Duties
- Screen all BWC claims to ascertain status of claim
- Interview injured worked as needed.
- Assist physician/staff regarding injured worker as needed.
- Schedule appointments as needed.
- Update all BWC charts, allowed condition(s), POR, DOI, MCO, Case Manager, etc.
- Review and complete forms necessary for support of claim
- Obtain required authorization for services as needed.
- Follow up on approvals/disapprovals
- Communicate with physicians, Ohio BWC, MCO Case Managers, Self Insured Reps, Employers, Injured workers and attorneys.
- Review physician appointment schedules for BWC patients to determine if there are any outstanding issues.
- Works closely with coders regarding any discrepancies, which may occur as it pertains to services rendered.
- Complete disability forms.
- Answer phones.
Education/Experience Required:
- Must be high school graduate or equivalent.
Physical Requirements:
Physical requirements for the position include the ability to frequently hear and communicate orally, see up close and at a distance, read and comprehend, stand, sit, walk, reach, handle, and/or feel objects. Must be able to climb, pull, push and kneel. Maximum unassisted lift = 25 lbs. Average lift less than 10 lbs.
