Worker's Compensation Referral Coordinator

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

Job summary

Louisiana Orthopaedic Specialists is seeking a Workers’ Compensation Referral Coordinator to facilitate medical authorizations with workers’ compensation carriers for services to patients with work-related claims.

The role involves handling referrals, coordinating with adjusters and staff, scheduling promptly, and ensuring proper documentation and confidentiality in a busy medical office environment.

Qualifications

• High school diploma or GED required.
• 1 year experience in appointment scheduling, preferably in medical setting.
• Medical office experience preferred; knowledge of workers' compensation processes.

Responsibilities

• Receive and manage referrals for LOS physicians and initiate approval with workers' compensation agencies/third parties.
• Communicate with adjusters, patients, attorneys, and staff to clarify referral requests.
• Schedule appointments promptly upon referral approval and coordinate prior authorizations as needed.
• Obtain medical records and ensure provider approval before scheduling.
• Support goals for quality patient care, patient satisfaction and treatment compliance.
• Assist in the workers’ compensation coordination team as needed.
• Answer incoming workers’ compensation calls and maintain patient confidentiality.

Skills

Customer service

Excel

Word

Outlook

Relationship building

Education

High school diploma or GED

Tools

Microsoft Excel

Microsoft Word

Outlook

Job description

Worker’s Compensation Referral Coordinator

FLSA Status: Non-Exempt

Supervision Received: Business Office Manager

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.

Requirements

Education

• High school diploma or GED

Experience

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

Additional 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.