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Worker's Compensation Referral Coordinator

LOUISIANA ORTHOPAEDIC SPECIALISTS LLC - 2.9

Lafayette, LA Job Details Full-time 23 hours ago Qualifications Computer operation Customer relationship building Microsoft Outlook Medical insurance coverage verification Spreadsheets Word embeddings Employee relationship building Windows Workers' compensation insurance knowledge Medical scheduling High school diploma or GED Medical billing Desktop applications Data interpretation Stakeholder relationship building

Full Job Description Description:

Worker's Compensation Referral Coordinator FLSA Status:

Non-Exempt Supervision Received:

Business Office Manager Supervision Exercised:

N/A Position Summary Responsible for facilitation of medical authorizations by workers' compensation carriers for services rendered to patients covered under workers' compensation claims.

Essential Functions:

1. Receive and manage referrals for LOS physicians including initiation of approval by workers compensation agency/third party, patient registration and scheduling patient appointments. 2. Communicates with adjusters, patients, attorneys, physician staff and physicians as well as other work comp staff as needed to clarify referral requests. 3. Maintains goal of scheduling appointments immediately upon receipt of a referral approval. For acute/urgent injuries, get with the work comp team lead and/or appropriate work comp coordinator to determine if we must move forward with scheduling prior to official approval receipt. 4. Obtain appropriate medical records prior to patient appointment or in order to obtain approval from the provider prior to patient scheduling. 5. Assist in maintaining goals for quality patient care, patient satisfaction, and treatment compliance. 6. Assist the workers' compensation coordinators as needed and per availability. 7. Answer phone and appropriately handle incoming workers' compensation phone calls. 8. Maintains patient confidentiality.

Requirements:

EDUCATION

High school diploma or

GED EXPERIENCE

One-year experience in appointment scheduling, preferably in a medical setting.

REQUIREMENTS

Medical office experience. Knowledge of workers compensation processes and guidelines.

KNOWLEDGE

Knowledge of the physician billing processes, 1010A's and 1009's. Knowledge of computer systems. Advanced computer knowledge, including Window based programs.

SKILLS:

Skill in customer service and an understanding of LOS' code of conduct. Skill in using computer programs and applications including Microsoft Excel, Microsoft Word and Outlook. Skill in establishing good working relationships with both internal and external customers.

ABILITIES

Ability to multi task in a fast- paced environment. Must be detailed oriented with strong organizational skills. Ability to understand patient demographic information and determine insurance eligibility. Ability to work independently and demonstrate the ability to analyze data.

ENVIRONMENTAL/WORKING CONDITIONS

Normal office environment.

PHYSICAL/MENTAL DEMANDS

Requires sitting and standing associated with a normal office environment. Some bending and stretching required. Manual dexterity using a calculator and computer keyboard. This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.