Workers' Compensation Coordinator

Summit Health Management; Trenton (NJ); On-site; USD 28,000 - 32,000; Full time

Benefits offered by this job

401k savings plan

Health benefits

Job summary

Summit Health is seeking a Workers’ Compensation Coordinator to schedule WC appointments, coordinate referrals, and secure pre‑authorizations. You will work with payers, employers and patients to streamline access to treatment.

This role requires strong communication, meticulous data entry in Athena and Salesforce, and collaboration across offices to maintain compliant workflows. Competitive hourly pay plus benefits are provided.

Qualifications

• Bachelor’s degree preferred in public health, business, hospitality, or related field.
• Experience with patient scheduling and call centers.
• Experience with Workers’ Compensation workflows and payer contacts.
• Attention to detail and strong communication skills.
• Bilingual Spanish is a plus.

Responsibilities

• Schedule Workers’ Compensation appointments with CityMD or external referrals.
• Obtain initial authorizations and pre-authorizations for treatment orders.
• Build and register patient charts in Athena; ensure comp policy accuracy.
• Verify intake forms before visits and update records as needed.
• Communicate with patients and payers by phone and email professionally.
• Conduct outbound calls to employers and nurse case managers regarding referrals.
• Manage inbound inquiries from employers, adjusters, and patients.
• Review cancelled appointments and coordinate rescheduling.
• Collaborate with Summit Health offices on centralized WC workflows.
• Use Salesforce and Referwell to track referrals and appointments.

Skills

Interpersonal skills

Communication skills

Fast-paced environment

Team player

Bilingual Spanish

Attention to detail

Phone/e-mail etiquette

Education

Bachelor’s Degree in Public Health, Business, Hospitality Management or other applicable degree preferred

Tools

Salesforce CRM

Athena scheduling system

Epic

Referwell

Microsoft Office

Job description

About Our Company

We’re a physician‑led, patient‑centric network committed to simplifying health care and bringing a more connected kind of care. Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians. When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value‑based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high‑quality, connected care services that provide better outcomes at a reduced total cost of care.

Please Note: We will only contact candidates regarding your applications from one of the following domains: @summithealth.com, @citymd.net, @villagemd.com, @villagemedical.com, @westmedgroup.com, @starlingphysicians.com, or @bmctotalcare.com.

Job Description

The Workers’ Compensation Coordinator is responsible for the scheduling of all Summit Health Workers’ Compensation appointments, in addition to the coordination of referrals, whether from CityMD to Summit Health or Summit Health to Summit Health. The individual will be expected to collaborate with payers (adjusters, nurse case managers, claims examiners), employers and patients to obtain initial authorizations to treat, verify pre‑visit intake information, and obtain pre‑authorizations.

Duties and Responsibilities

• Schedule Workers’ Compensation appointments in a timely manner, whether from CityMD referral or external payers/patients.


• Obtain initial authorizations to treat and pre‑authorizations for advanced treatment orders from payer contacts (nurse case managers, adjusters, etc.) before scheduling.


• Build patient Athena chart and register accordingly by ensuring Workers’ Comp Case Policy is up‑to‑date with claim information and authorization details, and linked to the appointment


• Verify required Workers’ Compensation intake forms are completed by the patient pre‑visit; engage with patient if forms are not completed; make updates in Athena where necessary.


• Communicate with patients and payer contacts, via phone and email, in a professional and courteous fashion when needed to discuss Workers’ Compensation information, patient preferences, appointment coordination, etc.


• Conduct outbound calls to employers, adjusters and nurse case managers regarding CityMD referrals ordered, Workers’ Compensation information needed, appointment scheduling, etc.


• Assist and manage inbound calls and emails from employers, adjusters, nurse case managers and patients regarding Workers’ Compensation referrals and appointments.


• Review cancelled Workers’ Compensation appointments, communicating any appointment changes to the adjuster/nurse case manager, and facilitate rescheduling the patient.


• Engage with Summit Health offices directly who have scheduled appointments on their own and do not comply with centralized Workers’ Compensation workflows/resources.


• Leverage CRM Salesforce to reference client (employer and payer) referral coordination needs and special instructions.


• Utilize Referwell referral management technology to determine the most appropriate provider for scheduling a referral.


• Track all activities and progress of referral cases and appointments scheduled (outreaches, referral status, appointment scheduling progress, etc.)


• Daily extensive computer use navigating multiple applications while engaging in conversations with payer contacts, employers, patients or clinical office staff.


• Follow all HIPAA and any other governmental or state agency requirements regarding the appropriate handling of PHI documents to patients, employers, payers and providers.


• Must adhere to the call center schedule while being accountable to follow specific call quality guidelines and measurements.


• Demonstrate exemplary customer service skills.


• Work closely with other departments including but not limited to Workers’ Compensation Case Management, UC Referral Management, Aftercare, Medical Records, Compliance, and Revenue Cycle with the goal of ensuring that Summit Health‑CityMD is providing high quality and appropriate care to all work‑related injury patients and ensuring seamless operation processes for customer experience.


• Collaborate with Sales, Employer Concierge Services and Operations Teams to resolve issues and ensure the highest level of customer satisfaction.


• Other relevant duties as assigned.

Qualifications

• Bachelor’s Degree in Public Health, Business, Hospitality Management or other applicable degree preferred


• Experience with Patient Scheduling preferred


• Experience working in a Call Center preferred


• Experience managing Workers’ Compensation appointments and patients


• Experience working with payer contacts (nurse case managers, adjusters, etc.)


• Computer: Microsoft Office (Excel), CRM (Salesforce), Outpatient scheduling system (i.e., Athena, Epic, Referwell)


• High attention to detail


• Exceptional interpersonal and communication skills (verbal and written)


• Positive attitude and ability to project this around others


• Ability to work in a fast‑paced, ever‑changing environment


• Workers well independently and in a team environment


• Bilingual in Spanish a plus


• Must exhibit passion for outstanding results and compassion for those we work with and serve

Additional Information

The Workers’ Compensation Coordinator will report directly to the Senior Manager, Employer Concierge Services who may modify these responsibilities and activities to suit the needs of the goals behind the Workers’ Compensation program. This is a non exempt position with the salary range of $20.00 - $23.00/hour based on experience. Pay Range: $15.10 - $18.37 Hourly The provided compensation range is based on industry standards and salary determinations will be made based on numerous factors including but not limited to years of experience and location of position.

About Our Commitment

Total Rewards at VillageMD. Our team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families. Participation in VillageMD’s benefit platform includes Medical, Dental, Life, Disability, Vision, FSA coverages and a 401k savings plan.

Equal Opportunity Employer

Our Company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.

Safety Disclaimer

Our Company cares about the safety of our employees and applicants. Our Company does not use chat rooms for job searches or communications. Our Company will never request personal information via informal chat platforms or unsecure email. Our Company will never ask for money or an exchange of money, banking or other personal information prior to the in‑person interview. Be aware of potential scams while job seeking. Interviews are conducted at select Our Company locations during regular business hours only. For information on job scams, visit, https://www.consumer.ftc.gov/JobScams or file a complaint at https://www.ftccomplaintassistant.gov/.

Company Culture

We’re a physician‑led, patient‑centric network committed to simplifying health care and bringing a more connected kind of care. Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD and Starling Physicians. When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value‑based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high‑quality, connected care services that provide better outcomes at a reduced total cost of care. The work we do is changing the lives of our patients, our communities, and each other. Join us as we deliver the care we want to see in the world. Together, we can create better outcomes for all.