Workers Compensation Coordinator

Workers Compensation Coordinator

Responsible for serving as the primary point of contact for worker's compensation (W/C) issues and assisting patients, nurse case managers, employers and insurance adjusters with questions on medical services provided, insurance claims, home health care, medical equipment, surgical care, etc.

This full-time position will float between Workers Compensation and Patient Services at our Chicago Park Ridge location.

Responsibilities

• Scheduling appointments for W/C patients, obtaining approval (verifying benefits and coverage) from the employer/insurance company and documents information in Epic
• Responsible for sending office notes, work status reports, therapy/radiology orders, operative reports and procedure reports to all W/C designated parties
• Assist patients with obtaining necessary forms for claim approval for treatment, surgery and tests for the work related injury
• Providing prompt communication to nurse case managers, employers and insurance adjusters ensuring that the information they require to approve additional services is received
• Documenting all communication and maintains permanent record of all W/C correspondence
• Identifying and correcting patient account and insurance errors to ensure responsible party is appropriately billed
• Auditing work status reports prior to submission to ensure diagnosis and restrictions (if any) were completed accurately and thoroughly and correlated with physician's notes
• Addressing all inquiries received from patient, case manager, insurance company and employer regarding worker's compensation accounts
• Completing other comparable duties and assignments as directed by the Workers Compensation/Legal Manager and/or Supervisor
• Maintain a clean and safe work environment
• Other duties as assigned

Requirements

Education

• High school graduate or equivalent required
• Associates degree in business/communication field preferred

Certifications/Licensure

• Not applicable

Experience

• At least 2 years administrative experience
• Knowledge of medical terminology required
• Previous experience with W/C insurance and billing procedures

Technical Skills

• Possess good working knowledge of Microsoft Office and Windows-based computer applications. Able to interact with computers to enter data or process information
• Capable of filing materials correctly within an alphabetic or numeric system
• Ability to define problems, collect data, establish facts and draw valid conclusions

Soft Skills

• Must be available to work a flexible schedule to meet the demands of a changing scheduling environment and accommodate the needs of the practice
• Must be a self-starter, highly organized with good time management skills
• Able to multi-task and work in a fast-paced environment
• Communicate effectively verbally and in writing to document/record information
• Strong interpersonal skills, able to work well and communicate professionally with physicians, patients and staff in all levels in the organization. Able to develop constructive and cooperative working relationships with others and maintain them over time
• Ability to understand and follow a variety of oral and written instruction

Physical Requirements

• Stand or sit for extended periods of time
• Work is performed in a clinic office environment and involves frequent contact with physicians, staff, patients, and NCM and Adjusters

This description is intended to provide only basic guidelines for meeting job requirements. Duties and responsibilities, experience, qualifications, skills, supervisory relationship, physical/mental demands, and environmental/working conditions may change as needs evolve.

Illinois Bone and Joint Institute, LLC is an equal opportunity employer. All employment decisions are based on qualifications, merit, and business need, without regard to race, color, religion, age, sex, national origin, disability status, military or veteran status, sexual orientation, gender identity and expression, or any other characteristic protected by federal, state or local laws.