What are the responsibilities and job description for the Pre-Registration/Workers Compensation Representative position at HOPCo?
Premier Orthopaedics and Sports Medicine is looking for a Pre-Registration/Workers Compensation Representative to join our Newtown Square, PA corporate office!
The Company: Premier Orthopaedics is a full-service orthopaedic practice formed in 2000 that specializes in the diagnosis and care for a wide range of orthopaedic injuries and conditions. Through partnership with the Healthcare Outcomes Performance Company (HOPCo), we have grown to over 50 specialty locations and over 100 physicians across the Greater Philadelphia region!
We’re proud of the company we’ve built as we’ve grown to over 1000 employees to make Premier a place that people love to come to work every day
At Premier Orthopaedics, we are dedicated to taking care of you so you can take care of business! Our robust benefits package includes the following:
- Competitive Health, Pharmacy, Vision, and Dental Plan Benefits
- Disability and Protective Benefits
- HSA with qualifying HDHP plans with company match
- 401k plan with company match
- Employee Assistance Program that is available 24/7 to provide support
- Benefits eligibility on the 1st of the month after hire date!
ESSENTIAL FUNCTIONS
- Verify insurance eligibility and workers comp benefits for patients scheduled for services.
- Obtaining referrals from primary care providers and/or insurance websites as assigned.
- Contact insurance companies via phone, email, or online insurance portals to obtain benefit details.
- Document and update insurance information in the patient account in the Athena system.
- Address and resolve any discrepancies related to insurance verification.
- Maintain detailed notes regarding insurance verification activities in the patient Athena account.
- Ensure compliance with all federal, state, and local regulations regarding patient privacy and insurance verification processes.
QUALIFICATIONS
- High school diploma or equivalent required.
- Minimum of 2 years of experience in a healthcare setting, preferably in insurance verification, front office or medical billing.
- Familiarity with insurance terms, policies and procedures.
- Strong attention to detail and organizational skills.
- Excellent communication skills, both written and verbal.
- Proficiency in using online insurance portals.
- Ability to work independently and as part of a team.
- Understanding of various insurance plans including Workers Comp, HMO’s, PPO’s, Medicare, and Medicaid. Understanding of Co-pays, Co-insurance, and deductibles.
- Insurance company web portals.
- Ability to “think outside of the box” to analyze a problem and execute a solution.
