Workers' Compensation Specialist - Austin, TX

CPIhealth is an interventional pain practice with a multidisciplinary team dedicated to providing empathetic, compassionate and comprehensive care to individuals experiencing chronic pain. With state-of-the-art facilities, advanced technology, and a collaborative environment, we offer a platform for healthcare providers to excel in their specialties while making a profound difference in the lives of those we serve.

As you consider your next career move, we invite you to join us in redefining pain management through innovation, expertise, and a commitment to improving patient outcomes. Together, we can shape the future of healthcare and positively impact countless lives.

We are seeking a qualified, dependable, and detail-oriented individual to join our team as a full-time Workers' Compensation Specialist in Austin, TX.

This position plays a vital role in supporting patients, providers, and external stakeholders by coordinating all aspects of workers’ compensation cases. The role ensures timely and accurate documentation, authorization, scheduling, and communication to facilitate seamless care for patients receiving treatment under workers’ compensation.

Responsibilities:

• Serve as the primary point of contact for workers’ compensation patients, employers, adjusters, case managers, and legal representatives.
• Obtain and verify authorization for all treatment, evaluations, diagnostics, and procedures related to work-related injuries.
• Coordinate patient care and appointment scheduling in accordance with approved services.
• Maintain thorough documentation of all communications, authorizations, and case activity in the electronic medical record (EMR).
• Track treatment plans and upcoming authorization expirations to ensure continuity of care.
• Submit required documentation and treatment reports to appropriate parties.
• Assist providers with completion of forms and ensure timely submission to meet regulatory deadlines.
• Collaborate with billing staff to ensure proper coding and submission of claims for authorized services.
• Educate patients and staff on workers’ compensation processes and clinic protocols.
• Maintain confidentiality and adhere to HIPAA regulations.

This job description should not be interpreted as an exhaustive list of responsibilities or as an employment agreement between the employer and the employee. The above statements are intended to describe the general nature and level of work performed by employees assigned to this classification and are subject to change as the employer's needs and the job change.

• Required: High school diploma or equivalent
• Preferred: Associate’s or Bachelor’s degree in healthcare administration, business, or a related field
• Experience:
  • Minimum 2 years of experience in a medical office or workers’ compensation environment
  • Experience working in pain management, physical therapy, orthopedic, or occupational health settings is a plus
• Skills:
  • Strong understanding of medical terminology and insurance verification
  • Excellent organizational skills and attention to detail
  • Proficiency with EMR systems and Microsoft Office Suite
  • Effective verbal and written communication skills
  • Ability to manage multiple priorities in a fast-paced clinical environment

Comprehensive Benefits plan including:

• Medical, Dental, Vision insurance
• Paid Time Off (accrued)
• Flexible Spending Account for Health & Dependent Care
• Basic Life, Accidental Life, Supplemental Life Insurance
• Short Term & Long-Term Disability
• 401(k) with matching