Orthopaedic Workers Compensation Coordinator

3 days ago


Lake Charles, Louisiana, United States Center for Orthopaedics Full time
Job Summary

We are seeking a highly organized and detail-oriented Workers Compensation Coordinator to join our team at Center for Orthopaedics. The successful candidate will be responsible for coordinating the management of workers' compensation patients, obtaining prior authorizations, and ensuring timely follow-up on all worker's comp cases.

Key Responsibilities
  1. Develop and maintain positive working relationships with referring providers, patients, case managers, adjusters, employers, and payors.
  2. Verify patient demographics and billing information and enter all new worker's comp cases into our Practice Management System.
  3. Obtain prior approvals from employer/carrier for all services provided under worker's compensation.
  4. Coordinate and schedule worker's comp patient appointments and rehab conferences.
  5. Act as a liaison between the employer, worker's comp carrier, and physician.
  6. Maintain detailed organizational system of all worker's compensation cases and perform timely follow-up to check the status of authorization request.
  7. Review, verify, and transmit work status and other reports on all worker's comp appointments.
  8. Notate patient account and notify all necessary parties regarding status of authorizations.
  9. Upload all payer correspondence related to prior authorization to patient account.
  10. Initiate appeals for denied pre-authorization requests as needed.
  11. Maintain detailed organizational system of all worker's compensation cases and perform timely follow-up to check the status of appointment approvals.
  12. Respond to any worker's comp medical records requests from worker's comp carriers and/or employers in a timely manner.
  13. Daily checking of emails and voicemails to ensure prompt responses to all work comp inquiries and patient needs.
Requirements
  1. High school diploma or equivalent.
  2. Clinical experience preferred.
  3. Moderate level of computer skills including EMR (electronic Medical record), Practice Management system, basic office applications including Outlook, Word, Excel and use of the internet.
  4. Customer service experience; preferably in a healthcare related environment.
  5. One year's relevant work experience in a medical office setting or related workers' compensation.
Work Environment

Office setting. Frequent telephone calls and other interruptions, which requires being able to handle a fast-paced work environment during entire time at work. Must be able to prioritize multiple projects. Must maintain strict confidentiality according to the HIPAA standards of privacy and security and exercise professionalism when interacting with staff, managers, supervisors, physicians, external customers, etc.

Requires continuous standing, sitting, frequent walking, bending, and stooping. Physical ability to perform data entry and view computer screen for long periods. May require lifting of 50 to 100 pounds. Possible exposure to Hazardous Materials/conditions and infectious diseases.



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