Workers Comp Coordinator

1 month ago

Irvine, United States Akeso Occupational Health Full time

Job Type

Full-time

Description

As a WC Coordinator, you will contribute to the patient experience from start to finish. This role demands multi-tasking in a fast-paced environment. Your role will be to help coordinate in-house occupational health medical treatment requests by directing and facilitating referrals between medical providers and when needed partnering ancillary facilities.

If you have the ability to represent the highest quality of care in all aspects of patient engagement, and a willingness to demonstrate a very caring and respectful demeanor we want to hear from you. The ideal candidate will reflect our mission of offering highly personalized, compassionate care and be excited by the opportunity to learn and grow with the Practice. Candidate should also be able to demonstrate a positive attitude, strong communication, and computer skills.

Requirements

Essential Duties and Responsibilities:

  • Maneuver patient medical care while working closely with physicians, case managers and worker's compensation adjusters
  • Review occupational health Requests for Treatment Authorization (RFA) for completion and submission to claims administrators
  • Assists Occ Health providers with treatment coordination
  • Manage follow-up requests and authorization amendments with claims administrator
  • Coordinate and scheduled authorized treatments such as diagnostics and physical medicine at outside facilities for patients across multiple clinics
  • Provide status updates to patients as well as notify staff/physicians of authorizations and/or denials
  • Provide excellent customer service by acting as a liaison for employers, insurers, case managers and worker compensation adjusters
  • Support Referral Specialists
  • Other duties include coordinating in-house therapy with clinic staff; scheduling patient's initial appointment with in-house specialists; reviewing claims MPNs and Ancillary Vendor lists for scheduling; obtaining additional information from physicians as needed; follow-up on delayed/missing determinations
Knowledge, Skills, and Abilities:
  • Excellent communication skills and accurate data entry
  • Strong written and verbal communication skills
  • Detailed oriented with strong organizational and time management skills
  • Ability to work alone, take the initiative, and work with little direction
  • Must have a strong sense of discretion, urgency, and professionalism
  • Should be able to work as part of a team as well as work independently
  • Collaboration Skills
  • Ethical Conduct
  • Thoroughness
Education/Experience/Skills:
  • At least 2 years of work experience in a similar role
  • Must have a positive helpful attitude and ability to discuss issues with manager, physicians, and colleagues and relay information in a timely manner
  • Possesses knowledge of Workers' Compensation and medical terminology
  • Strong customer service skills
  • Must have the ability to build trust with physicians, employers, claims adjusters, and case managers
  • Should have knowledge of electronic medical record (EMR) systems and have the ability to keep up in a fast-paced environment
Preferred Qualifications:
  • Knowledge of Medical terminology
  • Experience in CA Workers' Compensation
  • Bilingual

NOTE: This job description may not include all the duties assigned to the employee and may be updated and modified by the department supervisor, according to the operations at any given time.

The base salary is determined on the candidate's education, qualifications, and experience, and is subject to change based on various internal and external factors.

Akeso is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

Salary Description

$19-$29/hr

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