[Hiring] Workers Compensation Coordinator @Rothman Orthopaedics

Role Description

The Workers' Compensation Coordinator is a call center position that fields a high volume of calls related to Worker's Compensation. This individual will be responding to requests from patients, insurance companies, nurse case managers, adjusters, and other referral sources. The Worker's Compensation Coordinator is also responsible for scheduling appointments and sending reports.

The Workers' Compensation Coordinator serves as a liaison between the patient, practice, and insurance companies. Responsibilities include:

• Scheduling appointments
• Obtaining case details for registration
• Provider triaging
• Providing status updates
• Facilitating the release of records
• Communicating with nurse case managers, adjusters, and other referral sources to coordinate claimant care in accordance with state regulations

Key Accountabilities:

• Average Handle Time
• Schedule Adherence
• Quality
• Abandon Rate

Job Duties:

• Handle inbound calls and respond to written inquiries in a fast-paced environment, adhering to established turnaround times.
• Serve as the primary point of contact for patients, nurse case managers, adjusters, and other referral sources regarding workers' compensation claimants, VA patients, and related inquiries.
• Create patient records, including entering all relevant case information, case management contacts, authorization requirements, and supporting medical records or clinical documentation into the EMR.
• Triage correspondence to schedule appointments using provider protocols and schedule restrictions, relay messages to providers for clinical clarification, release information, or provide status updates based on the needs of the caller or requestor.
• Collaborate with providers and the care team to meet referral source expectations, ensuring timely administrative completion and submission to documented contacts.
• Manage Workers' Compensation direct fax and mail to ensure timely entry into the EMR and prompt responses.
• Escalate calls to Supervisor or other departments as needed.
• Demonstrate professionalism and patience in all aspects of the role.
• Maintain department productivity levels for customer satisfaction.
• Perform other duties and assist on additional lines as assigned by manager.
• Adhere to established policies, procedures, and scripting to consistently achieve call-time and quality standards.
• Exemplify the desired culture and philosophies of the organization.

Qualifications

• High School diploma or GED minimum education requirement
• One (1) year telephone experience in a call center setting preferred
• Workers' Compensation knowledge highly preferred, but not required
• Medical terminology knowledge preferred
• Computer skills including, but not limited to, MS Office
• Reliable high-speed internet access and Wi-Fi connection required

Requirements

• Fully remote, but candidates must reside in DE, FL, GA, MD, NC, NJ, PA, SC, or TX
• Monday - Friday: 8:00am - 5:00pm EST
• Total Hours per Week: 40
• Pay Range: $19.00/hr - $23.00/hr

Benefits

• Competitive pay
• Comprehensive health and dental benefits
• Tuition reimbursement
• Paid time off
• Retirement savings plans