What are the responsibilities and job description for the Workers' Comp Intake Coordinator position at University Orthopedics?
Job Title: Workers' Comp Intake Coordinator
Reports to: Workers Compensation/Auto Intake Coordinator Lead
GENERAL SUMMARY OF DUTIES: The Workers Compensation/Auto Intake Coordinator is responsible for the management of worker's compensation & auto intake information.
Essential Job Functions:
- Develop and maintain positive working relationships with case managers, adjusters, employers, vendors, and payers.
- Schedule appointments and obtain the necessary paperwork from physicians and providers, as needed, such as obtaining authorizations/referrals from workers' comp carriers and employers, patient paperwork, and surgical/procedural authorizations as needed to process patients for worker's compensation services.
- Phone triage per scenario, document patient questions, consult with medical providers for appropriate and thorough documentation, and return patient phone calls in a timely manner along with verifying patient demographics and insurance information.
- Mail and rebill claims where applicable.
- Responsible for coordinating with various types of medical insurance plans specific to worker's compensation, via phone, fax, or online.
- Review/select appropriate CPT coding to ensure aggressive fee negotiations.
- Understand & apply DIA rates & IME processes, tracking, and invoicing.
- Understand & apply worker's compensation jurisdiction laws and regulations for MA and RI.
- Responsible for reporting workflow concerns and issues for problem-solving to management.
- Additional duties as assigned by the Manager to meet department needs.
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Requirements:
- High School education or equivalent required.
- 2-3 years relevant work experience in a medical office setting or related workers' compensation experience required.
- 1 year obtaining prior authorizations required, experience supporting an orthopedic office preferred.
- Must be self-directed and able to work with minimal supervision and direction.
- Skills in oral and written communication.
- Knowledge of computer applications for medical billing, financial data, spreadsheets, and word processing.
- Must be able to travel to all sites if/when necessary.
