Workers Comp Associate Job at Piedmont Healthcare
JOB PURPOSE:
Assist Workers’ Compensation Specialist and Workers’ Compensation Manager with claims administration of the Worker’s Compensation program at Piedmont Healthcare.
KEY RESPONSIBILITIES:
1. Review incident reports and enter claim data into computer system.
2. Ensure that appropriate medical treatment is being provided per workers’ compensation law.
3. Monitor medical treatment to include confirmation of employee compliance with medical treatment, obtaining medical reports, and authorizing all required treatment and referrals.
4. Monitor work status and organize return to work.
5. Maintain contact with supervisors concerning medical status and return to work.
6. Provide information to providers concerning bill receipt, payment status, etc.
7. Assist with adjusting and payment of bills.
8. Monitor and follow assigned claims to conclusion.
9. Assist with coordination and filing of charts.
10. Assist with photocopying and mailing claim materials to appropriate parties.
11. Provide additional support to Workers’ Compensation Department as requested.
Requirements
MINIMUM EDUCATION REQUIRED:
High school diploma or GED
MINIMUM EXPERIENCE REQUIRED:
Three (3) years of workers’ compensation experience with a minimum of one (1) year medical only experience required
Knowledge of workers’ compensation laws and regulations
PREFERRED QUALIFICATIONS:
Prefer five (5) years of workers’ compensation experience with three (3) years of medical only experience. CCM or WCCM certification or equivalent preferred. College courses preferred.
Diversity & Inclusion
At Piedmont Healthcare we embrace diverse ideas, perspectives, and skills to create a collaborative workplace where the best talent wants to succeed. We celebrate differences and recognize that they allow us to care for our community.
Excellence at Work
Piedmont is a certified Great Place to Work™- a national designation based on employee feedback about trust, workplace culture and experience. In 2019, Forbes named Piedmont one of Georgia’s 10 best employers and the highest-ranked healthcare provider.
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