Workers compensation Support Coordinator

Career; Freehold (NJ); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Medical insurance

Prescription drug coverage

Voluntary Dental insurance

Voluntary Vision Insurance

401K with company match

Paid holidays

Job summary

Advanced Orthopedics and Sports Medicine Institute in Freehold, NJ is seeking a Workers Compensation Support Coordinator to assist the Nurse Case Manager and maintain efficient patient flow from registration to discharge. The role emphasizes compassionate, professional patient communication and collaboration with insurers and care teams.

The position requires 3–5 years in healthcare (orthopedics preferred), strong customer service, and the ability to multitask in a fast-paced environment.

Qualifications

• Authorized to work in the US without sponsorship.
• Must possess strong customer service skills.
• 3-5 years experience in a health care organization with preferred orthopedic experience.

Responsibilities

• Triage and manage calls from patients, families, insurers, facilities, adjusters, nurse case managers, employers and attorneys.
• Schedule patient appointments including obtaining adjuster authorization for NJ claims and confirming claims are open and active; assist with creating WC intake forms.
• Document initial work comp intake information (date of injury, authorized body part, employer information).
• Manage patient tracking and notify relevant parties when appointments are missed or rescheduled.
• Create invoices and obtain authorization for DME, injections, and procedures; coordinate with billing.
• Provide Need for Treatment and operative reports to insurance personnel, and share completed work comp documents and physician notes with nurse case managers/insurers.
• Confirm authorization for diagnostic testing with insurers and schedule follow-ups after imaging.
• Maintain the patient registry and ensure current patient status.
• Collaborate with attorneys to obtain treatment authorizations and relevant documents.
• Create electronic medical notes including general notes and telephone encounters.
• Serve as liaison between patient, provider, and insurance carrier/nurse case manager.
• Attend conferences and in-services to promote the workers' compensation department.
• Work to enhance processes supporting department growth.
• Perform other duties as assigned by management.

Skills

Customer service

Organization

Multitasking

Education

High school diploma or equivalent

Job description

Monday - Friday (in office Freehold -full time - 8:30AM - 5:00 PM)

The Workers Compensation Support Coordinator will assist the Nurse Case Manager to maintain an efficient patient flow through registration and initial appointment through discharge and Maximum Medical Improvement.

Ensures timely and efficient customer service to the patient and insurance company/nurse case manager. Ensure compassionate and professional care while managing patient communication for an effective and efficient workflow.

Benefits

• Medical insurance
• Prescription drug coverage
• Voluntary Dental insurance
• Voluntary Vision Insurance
• 401K with company match
• Paid holidays

Culture

Advanced Orthopedics and Sports Medicine Institute was founded in 2007 with the merger of two of the areas longest tenured practices Western Monmouth Orthopedic Associates and New Jersey Orthopedic Associates. For more than 25 years, each has been a leader in providing quality orthopedic and sports medicine care. Together as one, we re even stronger and making a real difference in people s lives.

The combined practice allows us to draw on our complementary strengths to deliver exceptional patient-centered, patient-focused care for a better overall patient experience.

Responsibilities

• Triage and manage calls from patients/families/insurance companies/other facilities/adjusters/ nurse case managers/employers and attorneys
• Schedules patient appointments including obtaining adjuster authorization for treatment for NJ claims and confirming claims are open and active for treatment, completes case manager screen and documents all insurance information necessary. Assist with creating WC intake forms prior to appointments
• Ensure the appropriate work comp intake information is documented prior to the initial work comp visit to include date of injury, authorized body part, employer information
• Manages patient tracking ensuring that the adjuster/employer/nurse case manager is notified when appointments are missed or rescheduled
• Assist with creating invoices and obtaining authorization for DME, injections and procedures, scheduling and communicating financial information with billing team
• Assist with creating invoices for Need for Treatment Exams and communicate financial information with billing team
• Provide Need for Treatment reports and operative reports to the appropriate insurance personnel once completed
• Provide completed work comp documents and physician notes to nurse case managers/insurance companies/employers ensuring that jurisdictional requirements are met
• Confirm authorization for diagnostic testing is provided by insurance companies following up to provide additional information as indicated and to ensure appointments are scheduled after diagnostics/imaging to follow up with physicians
• Maintain the patient registry to reflect current patients and to remove patients who are not current
• Work with attorneys to provide appropriate documents and to obtain treatment authorizations
• Creates electronic medical notes including general notes and telephone encounters as necessary
• Works as a liaison between the patient, provider and insurance carrier/nurse case manager
• Attends conferences and in-services as necessary to promote the workers compensation department
• Work to enhance processes to support department growth
• Perform other duties as assigned or requested by management for business needs

Requirements

• Authorized to work in the US without sponsorship
• Must possess strong customer service skills
• Highly organized and ability to multi - task to meet deadlines
• Must possess a high school diploma or equivalent
• 3-5 years experience in a health care organziation with preferred experience in orthopedics
• Knowledge of workers compensation preferred

Equal Opportunity Employer

Advanced Orthopedics and Sports Medicine Institute provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.