Workers Compensation Coordinator
LA Health Solutions
DESCRIPTION We're seeking a highly organized and detail-oriented Workers' Compensation Coordinator to manage the full authorization process for patient care. This role plays a key part in ensuring timely approvals, accurate documentation, and effective communication between providers, insurance carriers, attorneys, and patients. This is a fast-paced position managing a high volume of cases, so strong organization and follow-through are a must. What You'll Do
- Prepare and submit medical documentation and authorization requests to workers' compensation insurance carriers
- Complete and manage Louisiana state forms (1009s and 1010s) with full supporting documentation
- Track deadlines and ensure compliance with Louisiana Workers' Compensation guidelines and timelines
- Investigate and appeal denied or modified treatment requests, collaborating with physicians when needed
- Communicate treatment recommendations and medical necessity to insurance carriers
- Serve as a liaison between physicians, insurance adjusters, attorneys, and patients
- Maintain detailed and accurate documentation of all case activity
- Coordinate approved care, including referrals and follow-up with outside providers
- Obtain missing medical records and verify patient account setup
- Act as a point of contact for patients regarding workers' compensation processes
- Provide training and guidance to staff on WC-related procedures
- Stay up to date on Louisiana WC regulations and changes
- Previous experience with workers' compensation cases (Louisiana experience strongly preferred)
- Knowledge of LAWC, Maritime, Jones Act, Longshoreman, and Department of Labor WC processes
- Familiarity with CPT codes and medical terminology
- Strong understanding of authorization, documentation, and appeals processes
- Excellent organizational and time management skills
- Strong communication skills and ability to work with multiple stakeholders
- Ability to manage a high volume of cases with accuracy and efficiency
- Competitive pay (based on experience)
- Health, dental, and vision insurance
- Paid time off and holidays
- 401(k) retirement plan
- Opportunities for growth and advancement
- Stable Monday-Friday schedule (no weekends)
Vacancy posted 13 hours ago
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