Workers Compensation Coordinator

Description

Founded in 1991, IBJI is the largest orthopedic group practice in Illinois. With more than 150 physicians in every orthopedic specialty, IBJI offers care for adults and children from some of the most accomplished and respected orthopedists in the country. Serving northern Illinois and northwest Indiana with over 100 locations, IBJI makes it easy to access care. Our headquarters is in Park Ridge, Illinois, a northwest suburb of Chicago. Our clinical services include advanced MRI imaging, pain management, non-surgical and surgical treatment plans, rheumatology, physical therapy, occupational therapy, wellness, and sports training. Ortho Access walk-in clinics provide same day care for orthopedic injuries. Beginning in 2021, IBJI expanded its clinical model to include eight outpatient ambulatory surgery centers that serve as an alternative to the traditional hospital model, enabling physicians, therapists and staff to work closely together to achieve better patient outcomes and convenience. Comprehensive care offered all in one place enables physicians, therapists and staff to work closely together, so that patients and families achieve better outcomes. Collaborative care is also more efficient. In many cases, IBJI services are substantially less expensive than those provided by large healthcare systems and emergency rooms.

Job Title: Workers Compensation Coordinator

Summary

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.

*Base salary offers for this position may vary based on factors such as location, skills and relevant experience. We offer the following benefits to those who are benefit eligible (30+ hours a week): medical, dental, vision, life and AD&D insurance, long and short term disability, 401k program with company match and profit sharing, wellness program, health savings accounts, flexible savings accounts, ID protection plan and accident, critical illness and hospital benefits. In addition, we offer paid holidays and paid time off.

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. This policy applies to recruitment and placement, promotion, training, transfer, retention, rate of pay and all other terms and conditions of employment.