Work Compensation Case Coordinator

Work Compensation Case Coordinator

Requirements

• High school diploma or equivalent
• 2 years of experience in a healthcare setting
• Good communication skills
• Ability to type a minimum of 30 wpm preferred

Responsibilities

• Coordinate work comp patient visits
• Identify work comp patients prior to their visit and identify any special requirements or documentation needs of the patient’s employer
• Gather information on tests, functional capacity evaluations, independent medical examinations, or therapies done external to Advocate for the provider prior to the visit
• Communicate with the patient, provider, and employer regarding duty status following the provider visit
• Obtain authorization for tests, procedures, or therapies ordered by the provider and document in medical record
• Coordinate with case manager regarding patient’s plan of care
• Notify the appropriate company representative when a patient does not show for a scheduled appointment and document in medical record
• Consistently communicate with Occupational Health regarding process changes, records requests, billing questions and case management concerns
• Ascertain surgical privileges of the scheduling physician
• Properly schedule surgical cases using the IDX system
• Complete all pre-op teaching and encourage questions from patient and family
• Send surgical information to Prior Authorization Specialist and indicate authorization in surgical orders when appropriate
• Order all labs/tests needed preoperatively
• Edit and update surgical schedule and notify appropriate staff of changes
• Coordinate specific scheduling requests for time and equipment with appropriate personnel
• Provide consistent and accurate documentation of patient information, care and concerns in the medical record according to the guidelines provided in the Documentation Policy and as otherwise instructed
• Consistently complete referrals and requisitions with all appropriate information
• Document all interactions with employers, case managers, or insurance carriers in the medical record
• Complete all patient documentation according to the Missing Documentation policy guidelines
• Document the process of all inbound and outbound disability forms
• Answer patient/employer/case manager questions accurately
• Display a courteous, alert and pleasant tone of voice, speaking clearly and in a relaxed manner
• Restate information to ensure clarity and accuracy
• Communicate effectively with internal and external customers
• Recognize problem situations that require action in a calm professional manner, utilizing Service Recovery Standards if appropriate
• Delegate problems through proper channels and follow through to seek completion

Preferred Qualifications

• Ability to type a minimum of 30 wpm preferred