Workers Compensation Claims Representative

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)

Qualifications

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