Worker’s Compensation Referral Coordinator

Louisiana Orthopaedic Specialists; Lafayette (LA); On-site; USD 32,000 - 42,000; Full time

Job summary

Louisiana Orthopaedic Specialists seeks a Worker’s Compensation Referral Coordinator to facilitate medical authorizations for workers’ compensation claims. This role partners with carriers, patients, and providers to schedule appointments and initiate approvals.

Responsibilities include coordinating referrals, obtaining records, communicating with adjusters, and ensuring confidentiality. Requires medical office experience and proficiency with Excel, Word, and Outlook.

Qualifications

• Medical office experience and knowledge of workers' compensation processes.
• Ability to manage referrals, scheduling, and patient registration.
• Proficiency with Excel, Word and Outlook to document activities.
• Ability to protect patient confidentiality and handle sensitive information.

Responsibilities

• Receive and manage referrals for LOS physicians, including initiating approval with workers' compensation carriers.
• Communicate with adjusters, patients and attorneys to clarify referral requests.
• Schedule patient appointments promptly following referral approvals and obtain records as needed.
• Assist in maintaining quality patient care, satisfaction, and treatment compliance.
• Handle incoming workers’ compensation phone calls and maintain confidentiality.

Skills

Customer service

Communication

Attention to detail

Education

High school diploma or GED

Tools

Microsoft Excel

Microsoft Word

Outlook

Job description

Job 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

• Receive and manage referrals for LOS physicians including initiation of approval by workers compensation agency/third party, patient registration and scheduling patient appointments.
• Communicates with adjusters, patients, attorneys, physician staff and physicians as well as other work comp staff as needed to clarify referral requests.
• 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.
• Obtain appropriate medical records prior to patient appointment or in order to obtain approval from the provider prior to patient scheduling.
• Assist in maintaining goals for quality patient care, patient satisfaction, and treatment compliance.
• Assist the workers’ compensation coordinators as needed and per availability.
• Answer phone and appropriately handle incoming workers’ compensation phone calls.
• Maintains patient confidentiality.

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.