Personal Injury Case Coordinator

1 week ago

West Hills, United States Advanced Pain Medical Group Full time

**WHO WE ARE**

APMG prides itself on providing comprehensive pain management and using cutting edge, yet conservative, techniques to treat patients suffering from chronic pain. Amid the recent opioid epidemic, our physicians are, and have been, extremely conscious and vigilant about prescribing oral analgesics. They understand that pain medications are highly addictive and are diligent about monitoring their patients on a regular basis to ensure safety.

APMG prides itself on offering the newest and most efficient procedures in interventional pain management. Our physicians are some of the few who perform effective mínimally invasive cutting-edge pain procedures such as: Vertiflex Superion Spinal Decompression, Dorsal Root Ganglion Stimulation, Spinal Cord Stimulation, PainTEQ for SI joint pain, Laser Discectomy, Kyphoplasty, in addition to innovative procedures such as Stem Cell Treatments and PRP Injections.

**APMG Personal Injury Case Coordinator**

FT, exempt

M-F

Responsible for maximizing the return of financial assets by establishing financial policies, procedures, controls and reporting systems for personal injury cases. Ensures legal and regulatory compliance for all personal injury reporting functions.

**DUTIES AND RESPONSIBILITIES**:

- Acts as primary contact for all personal injury related matters, including new case referrals.
- Contacts, schedules and follows up on new case referrals while ensuring the referring party is kept informed of progress.
- Contacts legal representation for information and activities on complex claims.
- Contact legal representation to determine whether the personal injury loss is covered.
- Reviews client’s medical records to ensure all conditions of care, operations, and procedures are documented.
- Initiate contact with clients upon receiving the assigned file.
- Identifies which Company facility is appropriate given the recommended procedure for the patient.
- Follow-up with legal representatives and the patient as needed.
- Post payments in a timely manner.
- Negotiates client billing and resolves PI claim problems or issues.
- Documents payment records and issues as they occur.
- Documents all conversations with clients, adjusters, and medical providers to capture cases status updates.
- Addresses medical and billing record requests pertaining to personal injury cases.
- Monitors Provider referrals and management reporting on a weekly basis.
- Coordinates with the Chief Financial Officer and Chief Executive Officer to ensure payments are in accordance with Company policies.
- Informs agents as needed during the claims process to ensure all proper procedures and coverages are explained to facilitate a seamless claim settlement.
- Identifies and implements solutions to achieve goals set for the total loss subrogation segments, while supporting Company objectives.
- Establishes reserves and authorizes payments in collaboration with the Chief Financial Officer within the scope of authority and settles claims in the most cost
- effective manner.
- Creates PI case aging reports utilizing billing software.
- Adheres to HIPAA guidelines at all times.
- Performs other related duties as assigned.

**QUALIFICATIONS**:

- 1-3years of paralegal work at a personal injury law firm.
- Prior experience handling and negotiating personal injury cases.
- Knowledge of insurance, personal injury case and reimbursement processes.
- Knowledge of personal injury procedure.
- Knowledge of CPT and ICD10 codes (3-5 years preferred).
- Knowledge of medical billing and coding practices (3-5 years preferred)
- Certified Paralegal.
- Certification obtained from an accredited Medical coding program preferred.
- Skill in documenting and maintaining patient care records if necessary.
- Strong Negotiation skills.
- Strong Data Tracking and Reporting Skills.
- Ability to communicate clearly with patients, law firms and other affiliated organizations.
- Ability to work effectively with Peers and with Management.
- Ability to communicate effectively.
- Flexibility in working hours to handle variation in the inflow of patients and cover the needs of the department.
- Working knowledge of Microsoft Office.
- Ability to effectively communicate with people at all levels and from various backgrounds.
- Commitment to excellence and high standards.
- Excellent written and oral communication skills.
- Strong organizational, problem-solving, and analytical skills.
- Attention to detail.
- Ability to manage priorities and workflow.
- Versatility, flexibility, and a willingness to work within constantly changing priorities with enthusiasm.
- Good judgement with the ability to make timely and sound decisions
- Bilingual (Spanish) preferred.

Pay: $20.00 - $25.00 per hour

Expected hours: 40 per week

**Benefits**:

- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance

Schedule:

- Monday to Friday

**Education**:

- High school or equivalent (preferred)

**Experience**:

- pe

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