Worker's Compensation Account Specialist

Job description

Workers Compensation Account Specialist Pay Range: $22.67-$27.00/hour (commensurate based on experience) The Workers Compensation (WC) Account Specialist is responsible for managing workers’ compensation accounts, including securing required authorizations, coordinating with insurance adjusters, and ensuring timely claim processing. This role also performs accounts receivable follow-up with payers to resolve outstanding claims and support timely reimbursement. What You’ll Do: - Secure required workers’ compensation authorizations through insurance portals or phone outreach - Communicate authorization status, including approvals and denials, with providers and clinic staff - Follow up with insurance carriers and adjusters to verify case details and resolve authorization or payment issues - Perform accounts receivable follow-up to ensure timely claim resolution and reimbursement - Monitor work queues to maintain productivity standards for authorizations and A/R follow-up - Identify denial patterns, underpayments, or other claim issues and escalate when necessary - Assist in resolving unpaid or unresolved claims with insurance payers - Maintain compliance with HIPAA, OSHA, and interna...