Workers Compensation Representative (72263)

Join Our Team at Orthopedic Associates of Lancaster (OAL)

At Orthopedic Associates of Lancaster (OAL) were more than just a medical practicewere a trusted part of the community. For generations families across Central Pennsylvania have turned to us for expert orthopedic care delivered with compassion innovation and integrity.

With five convenient locationsLancaster Willow Street Manheim (at the Spooky Nook Sports Complex) Lebanon and EphrataOAL offers a dynamic and patient-centered work environment. Were proud to be consistently recognized for our cutting-edge technology advanced procedures and warm professional staff. Our team includes not only leading orthopedic physicians and surgeons but also dedicated professionals across clinical and administrative roles who make exceptional care possible every day.

OAL is privately owned by our surgeons and supported by a team of 400 employees who share a commitment to excellence. At our Lancaster and Lebanon campuses we operate our own outpatient orthopedic surgery centerNPSCwhere we perform a wide range of surgeries including total joint replacements using the most advanced techniques available.

When you join OAL youre joining a respected organization where your work makes a difference. Whether youre clinical clerical or somewhere in between we offer a culture of collaboration opportunity and purposeall in service of helping people live stronger healthier lives.

Summary/Objective:

Partner with the Workers Compensation team to manage locations Workers Compensation cases throughout the continuum from initial appointment to patients release.

Responsibilities:
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 Workers 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.

Required Qualifications:

• High school diploma or GED is required.

• Experience using a computer and the Microsoft Office software applications (Word Excel Outlook) is required.

Preferred Qualifications:

• 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:

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