Injury Care Claims & Coordination Specialist

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more – in our careers and in our communities.Job Description Summary:Responsible for supporting the continuity of care for Injury care patients. Assists OHES providers by ensuring state and federal injury forms are completed and submitted in a timely manner. Works with BWC MCO/TPAs to obtain timely approved diagnoses or allowances. Responsible for patient referrals and tracking to achieve effective and prompt medical treatment planning. Coordinates with external case managers to insure timely management of the work injury case. May also be cross trained for coverage of other clinic responsibilities as necessary for the daily provision of services including but not limited to official specialist responsibilities and substance testing coverage upon training as appropriate. Possible travel as needed.Responsibilities And Duties:70% Responsible for claims processing, submission of paperwork for approval, tracking, collaboration with provider(s) and scheduling of appointments.20% Communicates with patients, employer BWC, MCO/TPA, for case continuity.10% Performs other administrative and clinic responsibilities as required.As a High Reliability Organization (HRO), responsibilities require focus on safety, quality and efficiency in performing job duties.The job profile provides an overview of responsibilities and duties and is not intended to be an exhaustive list and is subject to change at any timeMinimum Qualifications:High School or GED (Required)Additional Job Description:BWC claim process, paperwork and/or medical office experience a plus.Work Shift:DayScheduled Weekly Hours :40DepartmentCentral SchedulingJoin us!... if your passion is to work in a caring environment... if you believe that learning is a life-long process... if you strive for excellence and want to be among the best in the healthcare industryEqual Employment OpportunityOhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment #J-18808-Ljbffr