Workers' Compensation Coordinator

1 month ago


Columbia, United States Mid Tennessee Bone and Joint Clinic Full time

Job Type

Full-time

Description

This position is a full-time, permanent onsite non-clinical position within Tennessee Orthopaedic Alliance in Columbia, TN.

Responsibilities:

  • Schedule workers' compensation appointments, follow-up appointments, and coordinate the scheduling of ancillary services
  • Appropriately document and task correspondents from adjuster and/or case manager in patient's chart
  • Work closely with employers, insurance adjusters, a physician to communicate and collaborate on workers' compensation case issues
  • Manage the workflow of assigned workers' compensation cases, including telephone and email inquiries from employers, insurance carriers, and case managers, regarding injured worker
  • Obtain authorization and pre-certification for services such as examinations, physical therapy, diagnostics and other ancillary services
  • Notify appropriate departments/physician if authorization has been approved/declined for test and surgery by the adjuster and/or case manager
  • Complete C30-A to Workers Comp once patient has reached PPI and MMI and fax and/or email
  • Maintain Workers' Compensation rules and regulations through Tennessee Department of Labor
Requirements
  • Exceptional customer service and patient focus
  • Multi-tasking and successfully operating in a fast-paced environment, with the demonstrated ability to handle a high volume of telephonic inquiries and documentation workflow with a high degree of accuracy
  • Knowledge of Insurance, particularly workers compensation and health insurance provisions are essential
  • Knowledge of administrative and clerical procedures, including experience with computer systems
  • Collaboration, working closely with clinical colleagues and administrative teammates to develop a cohesive, high performing team
  • Dependability, with a reliance on the capacity to be at work on-time, every day so our patients can receive the care they need in a timely manner
Preferred
  • Experience using NextGen
  • 3-5 years' experience
  • Precertification experience
Benefits
  • Competitive pay
  • Comprehensive benefits package including medical, dental, vision, 401k match with employee contribution and discretionary profit-sharing
  • Paid Time Off (which increases with years of service)
  • Paid Holidays

TOA Columbia is an equal opportunity employer. TOA Columbia conducts background checks on applicants who accept employment offers. TOA Columbia adheres to HIPAA and OSHA safety guidelines.

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