Workers Compensation Assistant Jobs in Pooler, GA

Summary 

The Workers Compensation Manager will lead the Workers Comp department in a manner that ensures effective and efficient workflows and processes. The Workers Compensation Manager will lead the hiring and onboarding of all new employees in conjunction with the Senior Workers’ Compensation Coordinator. The Workers Compensation Manager will collaborate with executive management and various external stakeholders to strategize growth initiatives and opportunities. The Workers Comp Manager will be familiar with the responsibilities of the Senior Workers’ Compensation Coordinator, Work Comp Coordinator and be available to assist in guiding and updating workflow improvement opportunities.

The Workers Comp Manager will ensure that his/ her team members are performing the responsibilities of their job which includes but is not limited to accurately registering patients, providing timely WC/PI appointments for all participating providers, promoting an efficient administrative office, and coordinating pre-certifications and authorizations.

The Workers’ Compensation Manager is also responsible for collaborating with various internal departments in the review and scheduling of Independent Medical Examinations, and other record reviews. They will be the key point of contact for external stakeholders requiring advanced assistance. The Workers’ Compensation Manager will also be responsible for the collection and documentation of funds for work comp related invoices. Essential Duties and Responsibilities:

Manager Specific Responsibilities:

Provides oversight for all operations and day to day tasks of the department.

Lead all department hiring and onboarding in conjunction with the Senior Workers Compensation Coordinator.

Works in conjunction with the Senior Workers Compensation Coordinator to identify and update protocols and processes that ensure efficient department workflows.

Will assist the Senior Workers’ Compensation Coordinator in the resolution of internal and external challenges through the identification of process optimization opportunities and solutions.

May be required to work in any section of the department on an as needed basis.

Will collaborate with Optim Work Comp marketing team to facilitate physician engagement opportunities with the Work Comp community.

Will maintain situational awareness of department performance through tracking key performance indicators across multiple platforms and reports.

Will maintain a thorough understanding of Federal, Georgia, and South Carolina Workers’ Compensation programs and stay abreast of industry changes and trends.

Will collaborate with participating physician teams to expedite care and address or resolve physician concerns.

May be required to work flexible hours and some weekends.

Maintains area of special assignment.

Other duties as assigned

Supervisory Responsibilities

This position will report to the CEO/ COO. The Workers Compensation Manager will collaborate and communicate with the Workers Compensation Department Team members to ensure optimal workflow and performance is being executed within the department and by all team members.

Competencies

To perform the job successfully, an individual should demonstrate the following competencies:

Leadership - Will provide guidance to the Workers Compensation Team through example, mentorship, collaboration, and communication. Customer Service - Works well with patients, vendors, clients, referral services, and physicians by responding to their inquiries and promoting a positive image of the

company. Maintain confidentiality. Looks for ways to improve and promote quality patient care.

Teamwork - Accountable to team, respectfully appreciate the view of team members, open to new ideas and responsibilities, communicate with team regarding overall patient care including using resources efficiently, working toward a positive patient experience.

Organizational Support - Follows policies and procedures; completes administrative tasks correctly and on time; supports organization's goals and values; benefits organization through outside activities; supports affirmative action and respects diversity. Adheres to all OO policies and procedures while maintaining patient confidentiality according to HIPAA guidelines.

Dependability - Adheres to the company’s time and attendance policy and avoid missed time clock punches. Meets deadlines and works independently. Identifies, troubleshoots, and solve daily situational problem that arise. Identifies when to involve management appropriately. Productivity - Prioritizes and plans wok activities to ensure the completion of daily tasks. Uses time efficiently, plans for additional resources, sets personal goals and objectives to meet departmental goals.

Job Knowledge - Competent in required job skills and knowledge; exhibits ability to learn and apply new skills; Keeps abreast of current procedures and/or industry changes that may affect the department and/or patient service.

Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. May be required to work flexible schedules and/or some weekends.

Education and/or Experience

High School diploma or G.E.D. equivalent required. Must possess excellent communication skills to include speaking professionally and clearly. Must have knowledge of HIPAA. Medical office and Workers Compensation experience strongly preferred. Knowledgeable in basic billing functions, basic clinical functions, administrative practices, and operational procedures in a medical setting preferred.

Language Skills

Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present

information in one-on-one and small group situations to customers, clients, and other employees of the organization. Ability to sort and file materials correctly by alphabetic and numeric systems.

Mathematical Skills

Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.

Reasoning Ability

Ability to apply common sense understanding to carry out detailed written or oral instructions.

Computer Skills

To perform this job successfully, an individual should have knowledge of MS Word, MS Excel, MS Outlook, Workers Compensation specific software and EMR (Athena).

Certificates, Licenses, Registrations

N/A

Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this Job, the employee is regularly required to sit; use of hands; and to talk or hear. The employee is occasionally required to stand; walk; reach with hands and arms and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision. May be required to travel to one or more satellite locations depending on staffing changes.

Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually moderate.