Workers Compensation Coordinator

Carolina Orthopaedic & Neurosurgical Associates; Greenville (SC); On-site; USD 38,000 - 46,000; Full time

Job summary

Carolina Orthopaedic & Neurosurgical Associates seeks a Workers' Compensation Coordinator to organize and manage the WC program within the practice. You will collaborate with physicians, case managers, and staff to coordinate care for WC patients and maintain complete documentation.

The role requires knowledge of medical terminology, WC guidelines, and South Carolina regulations. You will handle calls, referrals, authorizations, and serve as the main contact for WC patients, physicians, and

Qualifications

• Knowledge of WC program guidelines and SC regulations.
• Experience with claims processing and precertification.
• Excellent organizational and communication skills.

Responsibilities

• Promote the WC program to local industries and insurance carriers.
• Liaison between physicians, employers, case managers, patients, and insurance carriers.
• Invoice and schedule all WC IMEs, second opinions, and all new WC appointments.
• Precert all medical treatment for WC department patients.

Skills

Medical terminology

Communication

Organizational skills

Coordination

Multitasking

Education

High School

Associate Degree (Preferred)

Job description

The Workers Compensation Coordinator is responsible for organizing and managing the daily operations of the Workers' Compensation (WC) Program within the practice. This position collaborates closely with physicians, case managers, and staff to schedule and coordinate care for WC patients, ensuring effective communication and seamless patient care. The Coordinator oversees the collection and maintenance of accurate and complete documentation for all WC cases.

A strong knowledge of medical terminology, Workers' Compensation program guidelines, and South Carolina state regulations is required. The Coordinator manages all incoming and outgoing calls, referrals, and authorizations related to WC patients and is responsible for gathering, verifying, and submitting information required for claims processing.

Additionally, the Coordinator serves as a primary point of contact for WC patients, physicians, and staff, facilitating clear and timely communication. This role also plays a key part in the marketing, outreach, and development of the WC Program, including building relationships with local industry leaders and stakeholders.

Essential Functions

The ideal candidate demonstrates excellent organizational skills, attention to detail, and the ability to prioritize and manage multiple tasks in a dynamic environment.

• Promote the WC program to local industries and insurance carriers, increasing awareness and fostering partnerships.
• Liaison between physicians, employers, case managers, patients, and insurance carriers
• Invoice and schedule all WC IMEs, second opinions, and all new WC appointments
• Precert all medical treatment for WC department patients

Work Experience

Required Experience:

1 to 2 years

• 1-2 years of medical office experience
• 1 year of workers compensation experience

Physical Demands and Work Environment

• Physical demands are light to moderate, involving prolonged sitting and repetitive hand motions. Lifting nothing greater than 5 - 7 pounds.
• Fast-paced in an office work environment

Education

Required Education Level:

High School

• Associate Degree (Preferred)