Workers Compensation Specialist

Healthcare Outcomes Performance CompanyJacksonville, FL
Onsite

About The Position

Southeast Orthopedic Specialists is growing! We are seeking a Call Center Care Coordinator - Worker's Compensation Specialist to join our team in Jacksonville, FL! You will enjoy working in office with a team that collaborates by telephone and email with adjusters and nurse case managers to coordinate patient care for injured workers, obtain authorizations, process documentation, and maintain ongoing administrative support, ensuring accurate and complete documentation. The Call Center Care Coordinator- Workers Compensation Specialist communicates directly with employers, adjusters, nurse case managers and carriers to register, schedule and secure prior authorization for services for our patients who were injured at work. Care coordination is completed by phone and email with our referral sources.

Requirements

  • 1- year experience working with Workers' Compensation cases
  • High school diploma/GED
  • Excellent verbal and written communication skills
  • Experience working with Microsoft applications including Word, Excel, and Outlook
  • Ability to work productively in a fast-paced environment
  • Ability to learn and retain company policies, state and federal policies, and workflow processes

Nice To Haves

  • Athena experience is always preferred

Responsibilities

  • Collaborates by telephone and email with adjusters and nurse case managers to coordinate patient care for injured workers.
  • Obtains authorizations for patient care.
  • Processes documentation.
  • Maintains ongoing administrative support, ensuring accurate and complete documentation.
  • Communicates directly with employers, adjusters, nurse case managers and carriers to register, schedule and secure prior authorization for services for patients who were injured at work.
  • Completes administrative review of received medical records and treatment notes to ensure completion, accuracy, and program compliance.
  • Maintains all records and reports with accuracy.
  • Obtains and processes authorizations for continued care of the injured worker.
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