Texas Workers' Compensation Specialist

Job Summary

A company is looking for an AR Workers Comp Specialist.

Key Responsibilities

• Manage high value workers' compensation surgical claims from authorization to final payment
• Build and maintain relationships with adjusters, case managers, and employers to facilitate authorizations and payments
• Ensure compliance with Texas workers' compensation regulations and documentation requirements

Required Qualifications

• Hands-on experience in managing workers' compensation claims in a surgical setting
• Deep knowledge of Texas workers' compensation fee schedules and billing practices
• Understanding of surgical procedures related to spine, orthopedic, ENT, and pain management
• Familiarity with prior authorization processes and compliance guidelines
• Proven track record in managing accounts receivable for workers' compensation