Workers Compensation Coordinator

Baton Rouge Orthopaedic Clinic•Baton Rouge, LA

1d•Onsite

About The Position

At the Baton Rouge Orthopedic Clinic our goal is to provide a seamless continuum of health care services to maximize patients’ outcomes and convenience. We offer an organized and coordinated continuum to provide better and timelier feedback between the patient, physician, and ancillary services provider. Our main campus is located on Bluebonnet, but we have various clinics and therapies across the state of Louisiana as well as the BROC foundation that supports local schools and athletic programs by providing services throughout various communities. Summary: The position is located in the medical clinic and reports directly to the Business Office Supervisor, Director of Operations, and/or Physician for all matters, including job duties, performance evaluations, approval of leave, and for other assignments as deemed necessary for the benefit of the Baton Rouge Orthopaedic Clinic (BROC).

Requirements

High school diploma or equivalent.
Prior experience in Workers Comp is required.
Ability to perform tasks in a productive, timely, and accurate manner.

Responsibilities

Verifies and obtains approval from employer/carrier for new worker’s comp cases.
Enters all new worker’s comp cases into Centricity, sets-up billing for each worker’s comp patient, and assists in the collection of worker’s comp payments.
Reviews, verifies, and transmits work status and other reports on all worker’s comp appointments.
Coordinates and schedules worker’s comp patient appointments.
Coordinates and schedules rehab conferences.
Receives requests for physicians to complete forms, mails corresponding letter requesting payment for completion of forms, and delivers forms to physicians for completion after receiving payment. Logs date that forms are given to physicians in log-book and tracks until completed.
Oversees daily mailing of worker’s comp surgery medical records and HCFA forms and mails any outstanding worker’s comp surgery medical records and HCFA forms.
Responds to any worker’s comp medical records requests from worker’s comp carriers and/or employers in a timely manner.
Obtains job descriptions and return to work alternatives for all worker’s comp patients and delivers them to the treating physician.
Builds and maintains relationships with worker’s comp carriers, occupational medicine clinics, and referring providers.
Acts as a liaison between the employer, worker’s comp carrier, and physician.
Obtains pre-certs for all worker’s comp appointments, testing, and surgeries and maintains and manages the worker’s comp pre-cert list on a daily basis.
Represents BROC at worker’s comp related events and meetings.
Performs other related duties as assigned and serves in whatever other capacity deemed necessary for successful completion of the mission and goals of BROC.
Maintain neat and organized work area. Report safety issues to the Front Office Supervisor or Risk Management/Safety Officer immediately.
Work efficiently and manage time wisely. Assist other employees when all duties are complete or as dictated by significant need.
Communicate any problems, difficulties, or concerns regarding job duties to the Front Office Supervisor, Clinic Manager, CEO, or Physician.
Perform all duties consistently and without significant error.
Meet all deadlines and timeframes for completion of assignments.
Represent BROC in a professional manner at all times. Demonstrate outstanding ability to interact positively with physicians, staff, and “external” customers (e.g. patients, family members, vender representatives, carriers, employers, referring physicians, etc.). Exhibit good communication skills with physicians, patients, supervisors, and co-workers at all times.
Maintain a harmonious relationship with other BROC employees in order to accomplish the duties and responsibilities of the position and to carry out the overall mission of the Clinic. Notify the Front Office Supervisor, Clinic Manager, or Physician of issues with other employees or patients that can not be amicably resolved.
Work and relate cooperatively with all other employees of BROC to assure optimum care for the patients of BROC and to achieve standards of care set forth by the BROC medical staff.
Adhere to the BROC Compliance Plan as it pertains to the above specific job duties. Use best efforts to maintain compliance by following the BROC Compliance Plan, attending BROC compliance education, following medical documentation guidelines, and communicating concerns regarding compliance issues.
Perform accurate and complete documentation in the patient’s medical record, when applicable.
Maintain patient confidentiality according to the HIPAA standards of privacy and security.
Adhere to the BROC Personnel Policies Manual and its contents.
Perform other reasonable duties as assigned by the Front Office Supervisor, Clinic Manager, or Physicians.