DescriptionAs a WC Coordinator, you will contribute to the patient experience from start to finish.
This role demands multi-tasking in a fast-paced environment.
Your role will be to help coordinate in-house occupational health medical treatment requests by directing and facilitating referrals between medical providers and when needed partnering ancillary facilities.If you have the ability to represent the highest quality of care in all aspects of patient engagement, and a willingness to demonstrate a very caring and respectful demeanor we want to hear from you.
The ideal candidate will reflect our mission of offering highly personalized, compassionate care and be excited by the opportunity to learn and grow with the Practice.
Candidate should also be able to demonstrate a positive attitude, strong communication, and computer skills.RequirementsEssential Duties and Responsibilities:Maneuver patient medical care while working closely with physicians, case managers and worker's compensation adjustersReview occupational health Requests for Treatment Authorization (RFA) for completion and submission to claims administratorsAssists Occ Health providers with treatment coordinationManage follow-up requests and authorization amendments with claims administratorCoordinate and scheduled authorized treatments such as diagnostics and physical medicine at outside facilities for patients across multiple clinicsProvide status updates to patients as well as notify staff/physicians of authorizations and/or denialsProvide excellent customer service by acting as a liaison for employers, insurers, case managers and worker compensation adjustersSupport Referral SpecialistsOther duties include coordinating in-house therapy with clinic staff; scheduling patient's initial appointment with in-house specialists; reviewing claims MPNs and Ancillary Vendor lists for scheduling; obtaining additional information from physicians as needed; follow-up on delayed/missing determinationsKnowledge, Skills, and Abilities:Excellent communication skills and accurate data entryStrong written and verbal communication skillsDetailed oriented with strong organizational and time management skillsAbility to work alone, take the initiative, and work with little directionMust have a strong sense of discretion, urgency, and professionalismShould be able to work as part of a team as well as work independentlyCollaboration SkillsEthical ConductThoroughnessEducation/Experience/Skills:At least 2 years of work experience in a similar roleMust have a positive helpful attitude and ability to discuss issues with manager, physicians, and colleagues and relay information in a timely mannerPossesses knowledge of Workers' Compensation and medical terminologyStrong customer service skillsMust have the ability to build trust with physicians, employers, claims adjusters, and case managersShould have knowledge of electronic medical record (EMR) systems and have the ability to keep up in a fast-paced environmentPreferred Qualifications:Knowledge of Medical terminologyExperience in CA Workers' CompensationBilingual#J-18808-Ljbffr