Workers Comp Coordinator

Your Impactful Role

• Receive all incoming calls, emails, and portal requests to schedule new and returning Worker’s Compensation patients.
   
• Follow-up as appropriate to complete or correct required information for Worker’s Compensation case policy for all new patients and returning patients.
   
• Contact employer and/or insurer to obtain authorization to evaluate and treat patient for workers’ compensation injury.
   
• Input all Worker’s Compensation patient information and case authorization information into computer system.
   
• Ensure that all Worker’s Compensation case authorization forms and previous medical records are faxed to appropriate Peachtree Orthopedic Clinic in a timely manner or added to the charts, so that patient can be seen as scheduled.
   
• Assist front desk personnel in updating Worker’s Compensation information on patients who have not been seen in office for a period of four months or longer.
   
• Assist patients who arrive for appointments without completed and approved workers’ compensation forms.
   
• Interface extensively with employers, workers compensation case supervisor(s), ancillary scheduling companies (i.e., PT and MRI orders), and patients, then follow through on requests for information.
   
• Scan received medical documents such as diagnostic reports, PT progress notes, FCE reports, and forward to the appropriate clinical teams.
• Assist with special projects pertaining to the POC Workers’ Compensation Product line.

Competencies 

• Continuous Learning - Assesses own strengths and weaknesses; seeks feedback to improve performance; pursues training and development opportunities; strives to continuously build knowledge and skills; shares expertise with others.
• Job Knowledge - Competent in required job skills and knowledge; exhibits ability to learn and apply new skills; keeps abreast of current developments; requires minimal supervision; displays understanding of how job relates to others; uses resources effectively.
• Use of Technology - Demonstrates required skills; adapts to new technologies; troubleshoots technological problems; uses technology to increase productivity; keeps technical skills up to date.
• Problem Solving - Identifies and resolves problems in a timely manner; gathers and analyzes information skillfully; develops alternative solutions; works well in group problem solving situations; uses reason even when dealing with emotional topics.
• Customer Service - Manages difficult or emotional customer situations; responds promptly to customer needs; solicits customer feedback to improve service; responds to requests for service and assistance; meets commitments.
• Communications - Expresses ideas and thoughts verbally; expresses ideas and thoughts in written form; exhibits good listening and comprehension; keeps others adequately informed; selects and uses appropriate communication methods.
• Cooperation - Establishes and maintains effective relations; exhibits tact and consideration; offers assistance and support to co-workers; works cooperatively in group situations; works actively to resolve conflicts.
• Managing Customer Focus - Promotes customer focus.
• Oral Communication - Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; responds well to questions; demonstrates group presentation skills; participates in meetings.
• Teamwork - Balances team and individual responsibilities; exhibits objectivity and openness to others' views; gives and welcomes feedback; contributes to building a positive team spirit; puts success of team above own interests; able to build morale and group commitments to goals and objectives; supports everyone's efforts to succeed.
• Written Communication - Writes clearly and informatively; edits work for spelling and grammar; varies writing style to meet needs; presents numerical data effectively; able to read and interpret written information.
• Conflict Resolution - Encourages open communications; confronts difficult situations; maintains objectivity; keeps emotions under control; uses negotiation skills to resolve conflicts.
• Diversity - Demonstrates knowledge of EEO policy; shows respect and sensitivity for cultural differences; promotes a harassment-free environment.
• Ethics - Treats people with respect; keeps commitments; inspires the trust of others; works with integrity and principles; upholds organizational values.
• Organizational Support - Follows policies and procedures; completes administrative tasks correctly and on time; supports organization's goals and values; benefits organization through outside activities; supports affirmative action and respects diversity.
• Adaptability - Adapts to changes in the work environment; changes approach or method to best fit the situation.
• Personal Appearance - Dresses appropriately for position; keeps self well groomed.
• Attendance/Punctuality - Is consistently at work and on time; ensures work responsibilities are covered when absent; arrives at meetings and appointments on time.
• Dependability - Follows instructions, responds to management direction; takes responsibility for own actions; keeps commitments; commits to long hours of work when necessary to reach goals.; completes tasks on time or notifies appropriate person with an alternate plan.
• Initiative - Volunteers readily; undertakes self-development activities; seeks increased responsibilities; looks for and takes advantage of opportunities; asks for and offers help when needed.
• Judgment - Displays willingness to make decisions; exhibits sound and accurate judgment; supports and explains reasoning for decisions; includes appropriate people in decision-making process; makes timely decisions.
• Planning/Organizing - Uses time efficiently.
• Quality - Demonstrates accuracy and thoroughness; looks for ways to improve and promote quality; applies feedback to improve performance; monitors own work to ensure quality.
• Quantity - Meets productivity standards; completes work in timely manner; strives to increase productivity; works quickly.
• Safety and Security - Observes safety and security procedures; determines appropriate action beyond guidelines; reports potentially unsafe conditions; uses equipment and materials properly.

Qualifications

• High school diploma or general education degree (GED). Minimum of two years’ experience as a customer care representative in medical office. 
• Minimal knowledge of medical terminology a plus.  Knowledgeable of the customer service industry. Previous call center or medical practice experience is preferred. 
• Worker's Compensation experience is also preferred.

Physical Demands 
 
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is regularly required to sit; use hands to handle or feel; and to talk or hear. The employee is frequently required to reach with hands and arms.  The employee is occasionally required to stand; walk and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 25 pounds.  Specific vision abilities required by this job include close vision. It is necessary to view and type on computer screens for long periods of time and to work in an environment which can be very stressful. This position must be able to deal with aggressive, hostile and sometimes irrational behavior patients and family members and have the ability to respond to all patients in a calm and professional manner.

Work Environment 
 
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually quiet to moderate.

Peachtree Orthopedics is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.