Workers Compensative Coordinator

Job Description

Job Description

Responsibilities:

• Assist the Nurse Case Manager to maintain an efficient patient flow through registration and initial appointment through discharge
• Ensure timely and efficient customer service to the patient and insurance company/nurse case manager
• Ensure compassionate and professional care while managing patient communication for an effective and efficient workflow
• Triage and manage calls from patients, families, insurance companies, other facilities, adjusters, nurse case managers, employers, and attorneys
• Schedule patient appointments including obtaining adjuster authorization for treatment for NJ claims and confirming NY claims are open and active for treatment, completes case manager screen and documents all insurance information necessary
• Assist with creating WC intake forms prior to appointments
• Ensure the appropriate workers comp intake information is documented prior to the initial workers comp visit to include date of injury, authorized body part, and employer information
• Manage patient tracking ensuring that the adjuster, employer, and nurse case manager is notified when appointments are missed or rescheduled
• Assist with creating invoices and obtaining authorization for DME, injections, and procedures, scheduling and communicating financial information with billing team
• Assist with creating invoices for Need for Treatment Exams and communicate financial information with billing team
• Provide Need for Treatment reports and operative reports to the appropriate insurance personnel once completed
• Provide completed workers comp documents and physician notes to nurse case managers, insurance companies, and employers, ensuring that jurisdictional requirements are met
• Confirm authorization for diagnostic testing is provided by insurance companies following up to provide information as indicated and to ensure appointments are scheduled after diagnostics/imaging to follow up with physicians
• Maintain the patient registry to reflect current patients and to remove patients who are not current
• Prepare disability and FMLA forms as requested by patients
• Work with attorneys to provide appropriate documents and to obtain treatment authorizations
• Create electronic medical notes including general notes and telephone encounters as necessary
• Work as a liaison between the patient, provider, insurance carrier, and nurse case manager
• Attend conferences and in-services as necessary to promote the workers compensation department
• Work to enhance processes to support department growth
• Perform other duties as assigned