Workers Compensation Coordinator

Job Summary:

The Workers' Compensation Coordinator is a call center position that fields a high volume of calls related to Worker's Compensation. This individual will be responding to requests from patients, insurance companies, nurse case managers, adjusters, and other referral sources. The Worker's Compensation Coordinator is also responsible for scheduling appointments and sending reports.

The Workers' Compensation Coordinator serves as a liaison between the patient, practice, and insurance companies. Responsibilities include scheduling appointments, obtaining case details for registration, provider triaging, and providing status updates. The coordinator facilitates the release of records and communicates with nurse case managers, adjusters, and other referral sources to coordinate claimant care in accordance with state regulations.

Key Accountabilities:

Average Handle Time, Schedule Adherence, Quality, Abandon Rate.

Job Duties:

• Handle inbound calls and respond to written inquiries in a fast-paced environment, adhering to established turnaround times.
• Serve as the primary point of contact for patients, nurse case managers, adjusters, and other referral sources regarding workers' compensation claimants, VA patients, and related inquiries.
• Create patient records, including entering all relevant case information, case management contacts, authorization requirements, and supporting medical records or clinical documentation into the EMR.
• Triage correspondence to schedule appointments using provider protocols and schedule restrictions, relay messages to providers for clinical clarification, release information, or provide status updates based on the needs of the caller or requestor.
• Collaborate with providers and the care team to meet referral source expectations, ensuring timely administrative completion and submission to documented contacts. Follow provider protocols for schedule accommodations, second opinions, insurance requirements, and adherence to turnaround times
• Manage Workers' Compensation direct fax and mail to ensure timely entry into the EMR and prompt responses.
• Escalates calls to Supervisor or other departments as needed.
• Demonstrate professionalism and patience in all aspects of the role.
• Maintains department productivity levels for customer satisfaction.
• Performs other duties and assists on additional lines as assigned by manager. 
• Adhere established policies, procedures and scripting to consistently achieve call-time and quality standards. 
• Exemplifies the desired culture and philosophies of the organization.

Job Qualifications:

• High School diploma or GED minimum education requirement
• One (1) year telephone experience in a call center setting preferred
• Workers' Compensation knowledge highly preferred, but not required
• Medical terminology knowledge preferred
• Computer skills including, but not limited to, MS Office
• Reliable high-speed internet access and Wi-Fi connection required

Location: 

fully remote, but candidates must reside in DE, FL, GA, MD, NC, NJ, PA, SC, or TX

Hours: 

Monday - Friday: 8:00am - 5:00pm EST

Total Hours per Week: 

40

Pay Range: 

$19.00/hr - $23.00/hr

Our Commitment to Employees:

Come work at Rothman Orthopaedics! Our employees are our single greatest asset, as such, we strive to provide a professional, nurturing environment where every member of our team can make a meaningful difference in the lives of others. This commitment to our employees has earned us the distinction as a Top Workplace in Philadelphia by the Philadelphia Inquirer year after year. Our employees enjoy competitive pay, comprehensive health and dental benefits, tuition reimbursement, paid time off, and retirement savings plans.

Rothman Orthopaedics is an Equal Opportunity employer committed to providing opportunities to all qualified applicants without regards to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law. We value developing an inclusive and equitable environment that strengthens our organization and allows us to better attract and retain a diverse workforce that is representative of our patients and our community. We model our values by creating and enacting practices that encourage participation from all backgrounds, perspectives, and experiences.

Remote Employment Policy:

If you are being hired into a remote eligible position, please be aware that Rothman Orthopaedics is only registered to support remote employment in a limited number of states. If you relocate to a new state and Rothman Orthopaedics is not registered in that state, you may no longer be eligible for a remote position and continued employment with Rothman Orthopaedics. Please contact HR for any questions or a list of states where remote employment may be authorized.