Workers' Compensation Coordinator

This is a fully remote position, open to applicants in New Jersey.

📋 Description

• Schedule appointments for Workers’ Compensation promptly based on referrals from CityMD or external sources such as payers and patients.

• Secure initial treatment authorizations and pre-authorizations for advanced treatment orders prior to scheduling.

• Develop and maintain patient Athena charts that include current Workers’ Compensation case policies, claim details, authorization information, and appointment links.

• Verify and refresh necessary Workers’ Compensation intake forms ahead of patient visits.

• Engage with patients, employers, adjusters, nurse case managers, and other payer representatives via phone and email.

• Handle outbound calls and oversee incoming calls and emails related to referrals, information requests, and scheduling.

• Review canceled appointments and facilitate the rescheduling process.

• Coordinate with Summit Health offices that do not adhere to centralized Workers’ Compensation workflows.

• Utilize Salesforce for referencing employer and payer referral coordination needs and specific instructions.

• Use Referwell to identify suitable providers for referral scheduling.

• Monitor referral cases, appointment statuses, outreach efforts, and scheduling advancements.

• Manage multiple applications during extensive computer use.

• Comply with HIPAA and governmental or state agency regulations regarding PHI handling.

• Follow call center schedules and maintain call quality standards.

• Deliver exceptional customer service.

• Collaborate effectively with Workers’ Compensation Case Management, UC Referral Management, Aftercare, Medical Records, Compliance, Revenue Cycle, Sales, Employer Concierge Services, and Operations teams.

• Perform additional relevant duties as assigned.

⛳️ Requirements

• Preferred Bachelor’s Degree in Public Health, Business, Hospitality Management, or another relevant field.

• Previous experience in Patient Scheduling is preferred.

• Call Center experience is preferred.

• Background in managing Workers’ Compensation appointments and patients.

• Experience working with payer contacts, including nurse case managers and adjusters.

• Proficient in Microsoft Office (Excel).

• Familiarity with CRM systems (Salesforce).

• Knowledge of outpatient scheduling systems (e.g., Athena, Epic, Referwell).

• Strong attention to detail.

• Outstanding interpersonal and communication skills, both verbal and written.

• Positive demeanor with the ability to project this to others.

• Capacity to thrive in a fast-paced, dynamically changing environment.

• Ability to work effectively both independently and in a team setting.

• Bilingual in Spanish is a plus.

• Must demonstrate a passion for achieving excellent results and compassion for those we serve.

🏝️ Benefits

• Medical coverage.

• Dental coverage.

• Life coverage.

• Disability coverage.

• Vision coverage.

• FSA coverage.

• 401k savings plan.