Workers' Compensation Specialist/Authorization Specialist

Responsibilities

• Coordinate and manage all aspects of workers' compensation cases.
• Verify workers' compensation insurance eligibility and claim information.
• Communicate with workers' compensation carriers, adjusters, nurse case managers, employers, and attorneys.
• Submit, track, and follow up on treatment authorizations.
• Ensure all medical services are properly authorized before scheduling.
• Maintain accurate documentation of authorization requests and claim status.
• Utilize knowledge of CPT and ICD-10 codes when submitting authorization requests.
• Review physician documentation to ensure coding supports requested services.
• Schedule patients according to authorization status.
• Follow up on outstanding requests and denied authorizations.
• Maintain compliance with state regulations and payer guidelines.
• Work closely with providers, billing staff, and front office personnel to ensure continuity of care.

Spanish Hills Interventional Pain Specialists is one of the largest pain management clinics in the greater tri-county area. With highly trained Board Certified Physicians and Physician Associates we strive to help patients progress to a pain-free life through various treatment plans.