Workers Compensation Associate

Loma Linda • Loma Linda, CA

4d

About The Position

Works under the direction of management to provide case management and navigation support for patients and healthcare providers. Coordinates outreach efforts with adjusters and community partners to ensure patient access and optimize care flow. Conducts audits of completed work to verify accuracy and maintain quality standards. Performs other duties as needed.

Requirements

• Good knowledge of workers' compensation regulations, guidelines, and requirements.
• Knowledge of ICD-10, CPT codes, and medical terminology.
• Able to read and write legibly.
• Proficient use of computers, printers, fax machines, and software essential to the position, e.g., LLEAP, Outlook.
• Able to relate and communicate positively, effectively and professionally with others.
• Can work calmly and respond courteously when under pressure.
• Able to communicate Problem solving/reasoning, analyzing, explaining/teaching, and attention to detail.
• Ability to establish goals.
• Ability to develop and trend from multiple sources.
• Ability to prioritize activities, multi-task and deal with interruptions.
• Ability to manage multiple projects and meet timelines while managing others against specific goals and objectives.
• Able to resolve and answer immediate issues and questions.
• See adequately to read computer screens, medical records, and documents necessary to the position.
• Ability to distinguish color.
• Ability to hear in person and via telephone.
• Minimum of three years’ experience in Workers’ Compensation, including case management and compliance

Responsibilities

• provide case management
• navigation support for patients and healthcare providers
• coordinate outreach efforts with adjusters and community partners to ensure patient access and optimize care flow
• conduct audits of completed work to verify accuracy and maintain quality standards
• perform other duties as needed

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees