Workers Compensation Representative (72786)
Orthopedic Associates of Lancaster·Manheim Township, Pennsylvania
Orthopedic Associates of Lancaster·Manheim Township, Pennsylvania
This role involves partnering with the Worker’s Compensation team to manage all location's Workers' Compensation cases from initial appointment through patient release. Key duties include coordinating appointments, acting as a liaison with employers and case managers, and ensuring accurate guarantor and coverage information is entered into the EMR for correct billing.
Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions: Coordination of Workers' Comp: appointments, follow-up, authorizations, communication with Physicians, Case Managers, Employers and Adjusters; attorneys and paralegals with PI cases. Act as employer and Case Manager Liaison by sending clinical notes and supporting documentation to adjusters and case managers daily for previous day Enter guarantor, coverage, and employer information in EMR to ensure correct billing Follow up with patient and adjustor or case manager on all missed appointments. Schedule Workers' Comp Appointments as needed Confirm physician return to work status is completed each visit and send it and dictation to Carrier/Adjustor/Employer immediately after visit. Collaborate with Worker’s Compensation Billing Specialist and Revenue Cycle Manager to address and take action to resolve all Workers' Comp issues. Obtain authorization for treatment, Physical Therapy, Functional Capacity Evaluation, Second Opinion, surgery, and any other MD orders for WC patients. Communicate all WC patient information daily to MD for appointments (e.g., pre-cert status, availability of light duty, etc.). Follow all company policies. Other duties as assigned. QualificationsRequired Qualifications: High school diploma or GED is required. Experience using a computer and the Microsoft Office software applications (Word, Excel, Outlook) is required.
CWCP or MPWCP Certification is preferred. Post-Secondary Education in a certificate or degree program from an accredited school is preferred, with a focus on any of the following: Certified LPN Certified RN Certified Athletic Trainer Certified Medical Assistant Certified Medical Billing or Coding One (1) year of healthcare experience. Current experience with an EMR, specifically EPIC, is strongly preferred. The ideal candidate will have excellent communication skills (written and verbal) as well as excellent organizational skills. Our Commitment to Inclusivity: At OAL and its affiliated organizations, we are dedicated to fostering an inclusive workplace environment. Discrimination against qualified individuals based on protected veteran status, disability, race, color, religion, sex, national origin, sexual orientation/gender identity, or any other legally protected category is strictly prohibited by applicable federal, state, or local laws. We actively engage in affirmative action initiatives to recruit, hire, and promote individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status, or disability. Equal Employment Opportunity (EEO) Compliance: We are committed to ensuring accessibility for all users on our website. If you encounter any accessibility issues or require assistance with the application process, please contact our Human Resources department at HR@fixbones.com.
A High School Diploma or GED is required, along with demonstrated experience using computer applications, specifically Microsoft Office software like Word, Excel, and Outlook. Preferred qualifications include post-secondary education, healthcare experience, and certification such as CWCP or MPWCP.
Market context
Physician openings in Pennsylvania are often driven by ongoing clinical coverage needs and specialty demand, so competition can be strongest for roles that require board eligibility, Pennsylvania licensure or IMLC eligibility, and preferred fellowship or EPIC experience. Benefits and requirements on this platform are AI-summarized from the original job description, helping you review the key details faster. If you are considering applying, confirm your licensure path and highlight any EPIC or fellowship experience in your materials.
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