Workers Compensation Administrator II administers the workers' compensation program for an organization. Implements a consistent process for recording, investigating, and reporting workers' compensation claims complying with laws and regulations. Being a Workers Compensation Administrator II prepares and submits required reporting and documentation to OSHA, state and local agencies, and other entities. Monitors all claims and liaises with the employees, managers, insurance representatives, union representatives, medical staff, and attorneys involved with a case. Additionally, Workers Compensation Administrator II communicates case status details and necessary information to involved parties, including notifications of hearings, outcomes, return to work, or restrictions. Performs periodic reviews of overall cases to identify trends. Maintains up-to-date knowledge of all regulations and laws for reporting workers' compensation. May coordinate or assist with safety programs focused on injury prevention or facilitate accommodations for workers. May require a bachelor's degree. Typically reports to a manager. The Workers Compensation Administrator II occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Workers Compensation Administrator II typically requires 2 -4 years of related experience. (Copyright 2024 Salary.com)
Workers’ Compensation Claims Representative - This position will assist healthcare providers in identification, verification, billing and follow-up on workers’ compensation claims. The claims representative will help identify the appropriate workers’ compensation carrier and provide the documentation necessary for payment. The claims representative will work directly with adjusters to obtain claim updates and resolve outstanding claims. Representatives will need excellent communication and organizational skills to gather information and achieve resolution on assigned claims. Prior medical billing experience is preferred.
Essential Duties
Answering inbound calls and making outbound calls, while demonstrating proper phone etiquette and HIPAA compliance
Identification and verification of workers’ compensation insurance
Properly noting the account and setting appropriate follow-up
Proficient communication related to standard billing forms (UB04 and 1500)
High School Diploma and GED
Strong Knowledge of computer skills and typing
Intermediate knowledge of Outlook, Excel
Dependable and Detailed individuals with organizational skills
Great Communication skills
Recommended- 1- or 2-years' medical billing experience