AR Workers Compensation Manager

 Job Summary:

The AR Workers Compensation Manager overviews the activities of the Work Comp Follow-up Department by managing the workflow and processes of the department. The Manager promotes a work environment of high accountability and ownership. The Manager also practices performance management by coaching, mentoring, counseling, and developing employees for success. Will engage with Nurse Case Managers and Payer Reps regularly. Will oversee billing relationship with WC payers. 

Hours: Mon - Fri: 8am - 4:30pm 

Location: 833 Chestnut St, Philadelphia, PA 

• hybrid - will be required to work on-site as needed

Essential Duties:

1. Supervises the activities of the department
2. Manages department workflow and efficiently and effectively performs time management by delegating and prioritizes task
3. Responds to billing calls and resolves billing issues.
4. Facilitates accurate claim corrections
5. Performs random Audits on teams individual batches for trends and re-education
6. Reviews and keeps track of follow-up stats for review w/Management through productivity reports
7. Distributes physician case reviews accordingly and reviews for accuracy before sending to management
8. Exemplifies the desired culture and philosophies of the organization.
9. Maintain 1-2 day lag time with team and communicate any deterrents or issues to manager.
10. Monitors assigned claim status and reports to leadership
11. Performs daily Checklist attached for completion
12. Trains new employees-monitors batches for New employees competency and communicates to manager
13. Communicates with other supervisors to resolve issues
14. Manage Time and Attendance
15. Responsible for learning payer policies

Minimum Requirements:

• Education: High School diploma or GED
• Experience Level: 3-5 years experience in Workers Comp billing and 3-5 years experience in orthopedic billing. Currently in a Lead position.
• Knowledge: Medical billing/collection practices, medical coding, insurance company operating and reimbursement procedure

Preferred Qualifications:

• Knowledge: Physician billing, knowledge of CPT/ICD-10 coding. Knowledge of government and commercial billing requirements. General understanding of the various components of revenue cycle

Our Commitment to Employees:

Come work at Rothman Orthopaedics! Our employees are our single greatest asset, as such, we strive to provide a professional, nurturing environment where every member of our team can make a meaningful difference in the lives of others. This commitment to our employees has earned us the distinction as a Top Workplace in Philadelphia by the Philadelphia Inquirer year after year. Our employees enjoy competitive pay, comprehensive health and dental benefits, tuition reimbursement, paid time off, and retirement savings plans.

 Rothman Orthopaedics is an Equal Opportunity employer committed to providing opportunities to all qualified applicants without regards to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law. We value developing an inclusive and equitable environment that strengthens our organization and allows us to better attract and retain a diverse workforce that is representative of our patients and our community. We model our values by creating and enacting practices that encourage participation from all backgrounds, perspectives, and experiences. 

COVID-19 Policy:

As a condition of employment at Rothman Orthopaedics, it is required you receive the COVID-19 vaccination. Rothman Orthopaedics is an Equal Opportunity Employer and requests for reasonable accommodations will be considered.