Job Details

Description

The Orthopedic Workers Compensation Coordinator plays a critical role in managing workers’ compensation cases within the orthopedic practice. This individual ensures timely and accurate handling of all workers' compensation-related tasks, including processing claims, scheduling appointments, obtaining authorizations, and coordinating between patients, medical providers, insurance adjusters, attorneys, and employers. The role requires a strong understanding of workers' compensation laws, exceptional organizational skills, and attention to detail.

Key Responsibilities

• Serve as the primary point of contact for workers' compensation patients.
• Manage the workflow of workers’ compensation cases from the initial referral through to resolution.
• Ensure that all medical treatment is authorized and maintain ongoing communication with patients regarding their treatment plans and progress.
  
  

Authorization & Documentation

• Obtain pre-authorization for diagnostic tests, treatments, surgeries, and other medical services related to workers' compensation claims.
• Ensure that all documentation, including medical reports, referrals, and progress notes, are submitted in a timely manner to insurance companies, employers, and attorneys.
• Maintain and update patient files with accurate information.
  
  

Scheduling

• Coordinate appointments, diagnostic tests, and follow-up visits for workers’ compensation patients.
• Work closely with medical staff to ensure all necessary medical documentation is provided for patient visits.
  
  

Communication

• Act as a liaison between the patient, medical providers, insurance carriers, and attorneys to ensure all parties are informed and involved in the patient's care.
• Communicate effectively with patients regarding their rights, responsibilities, and the status of their workers’ compensation cases.
  
  

Compliance

• Stay informed of state and federal workers’ compensation regulations and ensure all processes are compliant.
• Ensure that all workers' compensation cases adhere to HIPAA and other confidentiality requirements.
  
  

Qualifications & Skills

• Education:
• High school diploma or GED required
• Experience:
• Minimum of 2 years of experience in a medical office setting, with specific experience in workers' compensation preferred.
• Familiarity with orthopedic terminology and procedures is a plus.
• Skills:
• Excellent organizational skills with attention to detail.
• Strong interpersonal and communication skills to effectively manage relationships with patients, medical staff, and external parties.
• Ability to multitask and manage multiple cases simultaneously.
• Proficient in medical billing software and electronic medical records (EMR) systems.
• Knowledge of workers’ compensation laws, regulations, and best practices.
  
  

Pay Range: $23.00-$24.00 per hour