About Golden State Orthopedics & Spine We’re proud to be a leader in the orthopedic healthcare industry and one of the largest orthopedic practices in the Western United States. When you join our team, you become part of a dedicated group of professionals who have the resources, training, and expertise to deliver the most advanced orthopedic care to our patients. About the Role • The Work Comp Coordinator is responsible for supporting the work comp processes within the practice. They will also ensure compliance, coordinate claims, and facilitate return-to-work process What You'll Do • Attending regular department meetings • Obtaining authorization for services from the patient’s work comp carrier • Scheduling appointments in the practice management system • Processing all Insurance denials; researching the claim and supplying any necessary information that will generate payment • Reviewing all insurance requests and do the necessary follow-up to ensure they have all of the necessary information to process the claim for payment • Updating patient insurance information as it is provided and re-bills claims accordingly • Responding to written and telephone billing inquiries from patients • Following up on requests for refunds, and submits them to the appropriate accounting staff member for processing • Appealing incorrect insurance denials • Communicating with other departments, staff members and physicians • Following up on Work Comp aging • Printing out current aging reports for all assigned financial classes • Following up on correspondence with patients and insurance companies • Maintaining financial class agings at the specified % for each aging bucket • Maintaining patient confidentiality; complies with HIPAA and compliance guidelines established by the practice • Maintaining knowledge of the practice management software and other computer software as it relates to job function • Attending regular department meetings • Attends coding or continuing education courses as requested • Additional duties as assigned What We're Looking For: • 2 years of experience working in a physician group practice • Basic knowledge of CPT and ICD-10 coding • High school diploma or GED certificate, college (preferred) What We Offer • Collaborative and friendly work environment • Full coverage for Employee PPO Medical insurance • 401k and Profit-Sharing Program • Paid Vacation, Floating Holidays, Regular Holidays, Sick Time • Employee Discount Programs • Internal Mobility