Workers compensation Support Coordinator

Job Description

Job Description

Monday - Friday (in office Freehold -full time - 8:30AM - 5:00 PM)
The Workers Compensation Support Coordinator will assist the Nurse Case Manager to maintain an efficient patient flow through registration and initial appointment through discharge and Maximum Medical Improvement. Ensures 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.
 
 
Benefits
Medical insurance, Prescription drug coverage, Voluntary Dental insurance, Voluntary Vision Insurance, 401K with company match, Paid holidays
Culture

Advanced Orthopedics and Sports Medicine Institute was founded in 2007 with the merger of two of the areas longest tenured practices – Western Monmouth Orthopedic Associates and New Jersey Orthopedic Associates. For more than 25 years, each has been a leader in providing quality orthopedic and sports medicine care. Together as one, we’re even stronger and making a real difference in people’s lives.

The combined practice allows us to draw on our complementary strengths to deliver exceptional patient-centered, patient-focused care for a better overall patient experience.

Responsibilities

• Triage and manage calls from patients/families/insurance companies/other facilities/adjusters/ nurse case managers/employers and attorneys
• Schedules patient appointments including obtaining adjuster authorization for treatment for NJ claims and confirming 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 work comp intake information is documented prior to the initial work comp visit to include date of injury, authorized body part, employer information
• Manages patient tracking ensuring that the adjuster/employer/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 work comp documents and physician notes to nurse case managers/insurance companies/employers ensuring that jurisdictional requirements are met
• Confirm authorization for diagnostic testing is provided by insurance companies following up to provide additional 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
• Work with attorneys to provide appropriate documents and to obtain treatment authorizations
• Creates electronic medical notes including general notes and telephone encounters as necessary
• Works as a liaison between the patient, provider and insurance carrier/nurse case manager
• Attends 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 or requested by management for business needs

Requirements
Authorized to work in the US without sponsorship
Must possess strong customer service skills
Highly organized and ability to multi - task to meet deadlines
Must possess a high school diploma or equivalent
3-5 years experience in a health care organziation with preferred experience in orthopedics
Knowledge of workers compensation preferred
Equal Opportunity Employer

Advanced Orthopedics and Sports Medicine Institute provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Requisition #cmv1bzigsud5z0jlca7dgz9hk