COORD - OCCUPATIONAL MEDICINE - TEMPORARY

UHS•Riverside, CA

29d

About The Position

SUMMARY: Responsible for coordinating patient care for Workers Comp. and Occupational Medicine patients, registration, and referrals. Complete work statuses, PR2’s and send to employers/adjusters. Complete and submit Request for Authorization to adjusters and Utilization review. Follow up on pending requests for authorization. Work with the Business Office on various Work Comp patient billing questions.

Requirements

High school diploma or general education degree (GED) required.
One to two years related experience and/or training; or equivalent combination of education and experience.

Responsibilities

Cooperate in the cross training of this position to ensure adequate coverage at all times.
Cooperate in being cross-trained to another position to ensure coverage at all times.
Initiates Occupational Medicine process set forth by workers comp guidelines and follow Employer Profile as set forth by department protocol.
Schedule new and established patients according to the approved Clinic and Workers’ Comp guidelines and the appointment scheduling policies and procedures.
Verify workers comp patient information with employer/insurance carrier following patient registration criteria.
Certified- Performs and completes walk- in Pre-employment Urine Drug Screen, Alcohol Swabs testing, DOT and completes Chain of Custody Form.
Check-out patient documents as set forth by Workers Comp guidelines and Employer Profile.
Take messages route for office staff and providers as requested and when appropriate and according to protocol.
Respond to emails/fax requests from employers, attorneys, and insurance carrier as per department protocol.
File documents according to guidelines.
Obtain authorization from insurance carrier for patient referrals set forth by workers’ comp guidelines.
Respond and send correspondence via email and fax to employers, insurance carriers and attorneys as set forth by workers’ comp guidelines.
Assume data entry duties as required.
Coordinates transportation for new injury as per employer profile.
Travels to other Occ Med clinics to help cover when needed.