WorkMed Case Coordinator

Essential Functions

• Coordinates the industrial injury program, including physician communication, therapies, evaluations and return to work issues. Coordinates treatment plan with insurance case managers, employers and third party payers.
• Performs pre-authorization of all services for patients. Distribute reports to insurance companies, physicians and employers. Provides appropriate feedback to referring physicians, employers and insurance companies.
• Coordinates with insurance/company/physician the review of patient treatment plans.
• Updates accurately the patient demographic and insurance information including review of all injury and treatment information on patient.
• Inputs payments from patient and insurance companies and bills secondary insurance as contracted. Makes chart copies as per requested by insurance/physicians/patients. Prepares and balances daily and monthly bank deposits.
• Runs patient orders tracking on a daily basis to identify missed injury orders. Faxes and mails out medical records.
• Manages injured patient cases working with insurance companies and the patient.
• Migrates companies' information to client database with initial injuries with work-off restrictions. Enters claim request information Verify billing and company information.
   

Skills

• Health care
• Patient care
• Patient management
• Medical Care
• Medical Records management
• Patient Education
• Patient evaluations
• Treatment plans
• Medical Administration
• Insurance Reimbursements
• Rehabilitation

Minimum Qualifications

• Demonstrated occupational health/case management experience.
• Negotiation, communication and interpersonal skills.
• Knowledge of insurance reimbursement, third party payers, and financial resource negotiation.

Preferred Qualifications

• Three years of occupational health/case management experience.
• Professional education in physical rehabilitation field.
• Licensure in physical rehabilitation field.
• Experience working in a WorkMed clinic

Physical Requirements

• Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs.
• Frequent interactions with customers that require employee to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately.
• Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use.
• Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.

Physical Requirements

• Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs.
• Frequent interactions with customers that require employee to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately.
• Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use.
• Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.