Workers Compensation Coordinator

Ortho Sport and Spine Physicians•Albuquerque, NM

About The Position

Ortho Sport & Spine Physicians is seeking a Workers Compensation Coordinator: The experienced Workers Compensation Coordinator will interact with the injured workers, attorneys, providers, employers, and sometimes family members. JOB DESCRIPTION Manage location’s Workers’ Compensation cases throughout the continuum from initial appointment to patient’s release, working closely with physicians and case managers.

Requirements

High School Diploma or equivalent
2 years Healthcare Experience
Extensive working knowledge of worker’s compensation insurance and medical terminology
Knowledge of ICD-10/CPT Codes
Ability to build trust with physicians and case managers
Knowledge of electronic medical record systems, preferably Eclinical Works
Ability to keep a positive attitude in a fast-paced environment
Ability to work as part of a team
Must be able to work independently
Must be detailed oriented
Strong organizational and time management skills
Strong customer service skills
Excellent verbal and written communication skill
Strong sense of discretion and professionalism
Extensive Knowledge of Department of Labor provider portal

Nice To Haves

CWCP or MPWCP certification preferred

Responsibilities

Manage Workers’ Comp: appointments, follow-up, authorizations, communication with Physicians, Case Managers, Employers and Adjusters
Copy Dictation for Workers’ Comp Billing
Workers’ Comp, Employer and Case Manager Liaison
Enter Missed Workers’ Comp Appointments, patient demographics.
Follow up with patient and adjustor or case manager on all missed appointments
Schedule Workers’ Comp Appointments.
Enter all appropriate Insurance information, contacts and phone numbers to complete Health History
Address and take action to resolve all Workers’ Comp issues
Obtain authorization for treatment, Physical Therapy, Functional Capacity Evaluation, Second Opinion, surgery, and any other MD orders for WC patients.
Schedule all WC patients’ appointments.
Coordinate Second Opinion and Independent Medical Exam appointments with Physicians
Maintain current relationships with Carriers, Employers, Adjustors.
Work in concert with WC Director to establish new relationships in the market
Communicate all WC patient information daily to MD for appointments (e.g., pre-cert status, availability of light duty, etc.)
Attend scheduled meetings with Carriers, Adjustors, and WC Director
Submit Permanent Partial Disability (PPD) ratings the next day after patient is dismissed from physician’s care