Workers Compensation Coordinator

Summary

Rothman Orthopaedics is an orthopaedic healthcare organization seeking a Workers' Compensation Coordinator for a fully remote call center role. The coordinator handles high-volume inquiries, creates and maintains patient records, schedules appointments, triages correspondence, communicates with providers and referral sources, and coordinates workers' compensation claimant care.

Responsibilities

• 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

Skills

• High School diploma or GED minimum education requirement
• Computer skills including, but not limited to, MS Office
• Reliable high-speed internet access and Wi-Fi connection required
• Fully remote, but candidates must reside in DE, FL, GA, MD, NC, NJ, PA, SC, or TX
• Monday - Friday: 8:00am - 5:00pm EST
• One (1) year telephone experience in a call center setting preferred
• Workers' Compensation knowledge highly preferred, but not required
• Medical terminology knowledge preferred

Qualifications

Must Haves

• High School diploma or GED minimum education requirement
• Computer skills including, but not limited to, MS Office
• Reliable high-speed internet access and Wi-Fi connection required
• fully remote, but candidates must reside in DE, FL, GA, MD, NC, NJ, PA, SC, or TX
• Monday - Friday: 8:00am - 5:00pm EST

Nice to Haves

• One (1) year telephone experience in a call center setting preferred
• Workers' Compensation knowledge highly preferred, but not required
• Medical terminology knowledge preferred

Benefits

• Comprehensive health and dental benefits
• Tuition reimbursement
• Paid time off
• Retirement savings plans
• Fully remote work