Legal/Workers' Compensation Coordinator

About Mountain Valley Orthopedics

Mountain Valley Orthopedics is an established orthopedic practice serving patients throughout the Pocono region. We are seeking a detail-oriented, organized, and dependable Legal / Workers’ Compensation Representative to join our team. This position works directly with our physicians, insurance adjusters, employers, attorneys, and nurse case managers to coordinate workers’ compensation cases and legal medical services.

The ideal candidate has experience in a medical office, understands workers’ compensation processes, and can manage multiple priorities while maintaining accuracy, confidentiality, and timely follow-through.

Job Summary

The Legal / Workers’ Compensation Representative is responsible for coordinating legal and workers’ compensation-related services, including depositions, Independent Medical Evaluations (IMEs), Independent Redetermination Examinations, medical records, narrative reports, work status documentation, and related billing and payment activities. This role requires strong communication skills, attention to detail, and the ability to work independently while collaborating with physicians and administrative staff.

Essential Duties and Responsibilities

• Work directly with physicians to coordinate legal and workers’ compensation-related activities.
• Schedule and coordinate depositions, Independent Medical Evaluations (IMEs), and Independent Redetermination Examinations.
• Coordinate and verify advance payments for depositions, medical examinations, narrative reports, and related services.
• Verify workers’ compensation claims and coverage with insurance adjusters and/or employers.
• Maintain an accurate, current employer and insurance contact database.
• Review, organize, and prepare medical charts and records for physicians in advance of depositions and medical examinations.
• Process and coordinate requests for narrative reports, ensuring timely completion and delivery.
• Serve as a liaison for workers’ compensation accounts, insurance adjusters, attorneys, employers, and nurse case managers.
• Fax or otherwise transmit workers’ compensation work status forms to the appropriate parties within 24 hours, as required.
• Communicate work status updates to employers and other authorized parties.
• Must have Accounts Receivable background for accounts reconciliation
• Post payments to patient accounts and assist with related account documentation.
• Answer patient telephone calls, respond professionally to inquiries, and direct questions to the appropriate department when necessary.
• Maintain patient confidentiality and comply with HIPAA, OSHA, and applicable practice policies and procedures.
• Perform other duties as assigned by management.

Required Qualifications

• High school diploma or GED.
• At least one year of experience handling workers’ compensation cases.
• Strong computer skills and the ability to learn and use electronic medical records and other office systems.
• Proficient with Word and Excel
• Excellent organizational, communication, and time-management skills.
• Strong attention to detail and accuracy when handling medical records, claims, payments, and deadlines.
• Professional demeanor, sound judgment, and a commitment to ethical conduct and patient confidentiality.
• Ability to work independently with minimal supervision while contributing effectively to a team.

Preferred Qualifications

• Two to five years of medical office, medical records, or related healthcare administrative experience.
• Experience coordinating depositions, IMEs, narrative reports, or other legal medical services.
• Familiarity with medical terminology, CPT codes, and ICD-10 coding.
• Experience responding to insurance company requests and questions, including pre-certifications and pre-authorizations.
• Proficiency in Microsoft Word and other standard office applications.
• Typing speed of 40 words per minute or higher with accuracy.
• Experience with electronic medical records and medical billing or payment posting.

Key Skills and Competencies

• Accuracy and attention to detail.
• Strong organizational skills and effective follow-through.
• Ability to prioritize and manage multiple tasks simultaneously.
• Proactive problem-solving and sound decision-making.
• Ability to meet deadlines and manage time-sensitive documentation.
• Professional telephone etiquette and excellent customer service.
• Dependability, punctuality, and consistent attendance.
• Ability to follow instructions, established procedures, and compliance requirements.
• Ability to work with minimal supervision and maintain productive working relationships with physicians, staff, patients, and outside professionals.

Physical and Work Requirements

• Ability to perform routine office activities involving sitting, standing, walking, bending, reaching, and occasional stooping.
• Ability to use standard office equipment, including computers, telephones, printers, fax machines, copiers, and calculators.
• Ability to lift and carry up to 30 pounds, as required.
• Ability to perform essential job functions safely and in accordance with established procedures.

Why Join Mountain Valley Orthopedics?

Join a collaborative healthcare team where organization, professionalism, and patient service are valued. This position offers the opportunity to work closely with physicians and healthcare professionals while supporting the administrative and legal processes essential to patient care and workers’ compensation services.

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Application Question(s):

• Do you have experience with Accounts Receivable?

Experience:

• Workers' Compensation: 1 year (Required)

Work Location: In person

Salary : $49,757 - $74,824