BWC Specialist, Orthopedic Clinic - Sheffield Village
- Location
- United States, Ohio, Sheffield_Village
- Workplace
- On-site
About this role
What You Will Do
Education
- Acts as a subject matter expert regarding workers compensation benefits and assists patients with navigation of BWC process, payments on physician and hospital billing. Acquires approval for DME equipment.
- Provides assistance for Orthopedic Surgery patients guiding them in identification/navigation of services and resources available within UHHS and in the community for workers comp injuries.
- Develops effective working relationships with UH colleagues, physicians, APP’s, other service providers. Initiates and maintains positive relationships with patient/customers.
- Provides competent, efficient and caring services to Orthopedic Surgery patients.
- Coordinates interdisciplinary functions of medical and ancillary services to meet needs of Orthopedic Surgery patients.
- Takes responsibility for self-development and supports a learning environment.
- Demonstrates commitment to the mission and values of UH.
- Performs other duties as assigned.
- Complies with all policies and standards.
- For specific duties and responsibilities, refer to documentation provided by the department during orientation.
- Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.
Education
- High School Equivalent / GED (Required) and
- Bachelor's Degree (Preferred)
- Work experience in a healthcare agency strongly (Preferred) and
- 1+ years Of patient facing or customer service experience in a clinic or hospital based setting. (Required) and
- Previous experience with insurance verification and explanation of services (Preferred) and
- Prefer previous financial counseling or application of commercial or government insurance products. (Preferred) and
- Experience with Ohio Bureau of Worker Compensation. (Preferred)
- Effective communication skills with all stakeholders (Required proficiency)
- Demonstrated awareness of community need or community assessment of need (Required proficiency)
- Demonstrated ability to effectively collaborate with both internal and external constituents (Required proficiency)
- Knowledge of healthcare resources, benefits, and entitlements for the orthopedic population. (Required proficiency)
- Demonstrated knowledge of Bureau of Workers Compensation claims and processes. (Required proficiency)
- Specialist in the subject of workers compensation injuries. (Required proficiency)
- Self-directed, ambitious, and curious (Required proficiency)
- Organized and detail-oriented (Required proficiency)
- Ability to accept and appreciate feedback (Required proficiency)
- Ability to assess the needs of patients and develop comprehensive care plans (Required proficiency)
- Proficient in Microsoft Office and use of email (Required proficiency)
- Ability to multi-task effectively in a fast-paced environment (Required proficiency)
- Ability to set priorities and work effectively under competing deadlines and changing workloads. (Required proficiency)
- Must have flexibility in job hours to adjust to sudden changes in workload/job requirements. (Required proficiency)
- Standing Occasionally
- Walking Occasionally
- Sitting Constantly
- Lifting Rarely up to 20 lbs
- Carrying Rarely up to 20 lbs
- Pushing Rarely up to 20 lbs
- Pulling Rarely up to 20 lbs
- Climbing Rarely up to 20 lbs
- Balancing Rarely
- Stooping Rarely
- Kneeling Rarely
- Crouching Rarely
- Crawling Rarely
- Reaching Rarely
- Handling Occasionally
- Grasping Occasionally
- Feeling Rarely
- Talking Constantly
- Hearing Constantly
- Repetitive Motions Frequently
- Eye/Hand/Foot Coordination Frequently
- 10%25
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