WorkMed Case Coordinator

Intermountain Health • Ogden, UT

3d • $19 - $27

About The Position

The Industrial Rehabilitation-Case Coordinator serves as a liaison between the treatment team, employer, third party payers and patients to ensure coordination of all occupational health services for optimal care. The incumbent is responsible for payment verification for services and treatment offered to all patients. Day Shift: Monday - Friday (with one day off) for 5 hour shifts . Potential to work additional hours as needed.

Requirements

• Demonstrated occupational health/case management experience.
• Negotiation, communication and interpersonal skills.
• Knowledge of insurance reimbursement, third party payers, and financial resource negotiation.
• Health care
• Patient care
• Patient management
• Medical Care
• Medical Records management
• Patient Education
• Patient evaluations
• Treatment plans
• Medical Administration
• Insurance Reimbursements
• Rehabilitation

Nice To Haves

• Three years of occupational health/case management experience.
• Professional education in physical rehabilitation field.
• Licensure in physical rehabilitation field.
• Experience working in a WorkMed clinic

Responsibilities

• Coordinates the industrial injury program, including physician communication, therapies, evaluations and return to work issues.
• Coordinates treatment plan with insurance case managers, employers and third party payers.
• Performs pre-authorization of all services for patients.
• Distribute reports to insurance companies, physicians and employers.
• Provides appropriate feedback to referring physicians, employers and insurance companies.
• Coordinates with insurance/company/physician the review of patient treatment plans.
• Updates accurately the patient demographic and insurance information including review of all injury and treatment information on patient.
• Inputs payments from patient and insurance companies and bills secondary insurance as contracted.
• Makes chart copies as per requested by insurance/physicians/patients.
• Prepares and balances daily and monthly bank deposits.
• Runs patient orders tracking on a daily basis to identify missed injury orders.
• Faxes and mails out medical records.
• Manages injured patient cases working with insurance companies and the patient.
• Migrates companies' information to client database with initial injuries with work-off restrictions.
• Enters claim request information
• Verify billing and company information.

Benefits

• We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
• Learn more about our comprehensive benefits package here.
• Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
• At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment.
• Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more.

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level
• Education Level: No Education Listed