The Hughston Clinic, The Hughston Foundation, The Hughston Surgical Center, Hughston Clinic Orthopaedics, and Jack Hughston Memorial Hospital participate in E-Verify. This company is an equal opportunity employer that recruits and hires qualified candidates without regard to race, religion, color, sex, sexual orientation, gender identity, age, national origin, ancestry, citizenship, disability, or protected veteran status. This company is a VEVRAA Federal Contractor.

• Ensures workers compensation process is performed accurately with all team members.  Responsible for training and re-training on W/C protocol as needed.
• Organizes clinic claims for electronic or hard copy mail and forwards to appropriate workers compensation payors.
• Serves as key contact for all workers compensation inquiries.  Provides reports to management as needed.
• Answers multi-phone lines and return messages in a timely manner.
• Reviews claims to make sure that the payor specific billing requirements are met, follows up on billing, determines and applies appropriate adjustments, answers questions and updates accounts as necessary.
• Manage assigned Payor hold/Manager hold buckets.
• Responsible to implement solutions as needed for escalated issues.
• Assists patients with questions/payments on their accounts.
• Appropriately appeal insurance claims in a timely manner.
• Research and write up refunds.
• Performs other duties as assigned by Management.