Remote Workers' Comp Coordination Specialist

Rothman Orthopaedics; Philadelphia (Philadelphia County); On-site; USD 26,000 - 32,000; Full time

Benefits offered by this job

Health and dental benefits

Tuition reimbursement

Paid time off

Retirement savings plan

Job summary

Rothman Orthopaedics is seeking a remote Workers' Compensation Coordinator to manage high volumes of calls from patients, insurers, and nurse case managers. You will schedule appointments, gather case details for registration, triage, and coordinate with providers to ensure timely information release and status updates.

Responsibilities include EMR data entry, triaging communications, and maintaining compliance with state regulations.

Qualifications

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

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.
• Create patient records, including entering all relevant case information, case management contacts, authorization requirements, and supporting medical records 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.
• Collaborate with providers and the care team to meet referral source expectations, ensuring timely administrative completion and submission to contacts.
• Manage Workers' Compensation direct fax and mail to ensure timely entry into the EMR and prompt responses.
• Escalate calls to Supervisor or other departments as needed.
• Follow policies, procedures and scripting to achieve call-time and quality standards.

Skills

Call center experience

Workers' Compensation knowledge

Medical terminology knowledge

Education

High School diploma or GED

Tools

MS Office

Job description

Rothman Orthopaedics is seeking a remote Workers' Compensation Coordinator to manage high volumes of calls from patients, insurers, and nurse case managers. You will schedule appointments, gather case details for registration, triage, and coordinate with providers to ensure timely information release and status updates.

Responsibilities include EMR data entry, triaging communications, and maintaining compliance with state regulations.