Workers Compensation Coordinator

About the role

The Workers' Compensation Coordinator is a call center position that fields a high volume of calls related to Worker's Compensation. This individual responds to requests from patients, insurance companies, nurse case managers, adjusters, and other referral sources, schedules appointments, sends reports, and serves as a liaison between the patient, practice, and insurance companies. Responsibilities include scheduling appointments, obtaining case details for registration, provider triaging, and providing status updates. The coordinator facilitates the release of records and communicates with nurse case managers, adjusters, and other referral sources to coordinate claimant care in accordance with state regulations. Location: fully remote, but candidates must reside in DE, FL, GA, MD, NC, NJ, PA, SC, or TX.

Responsibilities

• Handle inbound calls and respond to written inquiries in a fast-paced environment, adhering to established turnaround times.
• Serve as the primary point of contact for patients, nurse case managers, adjusters, and other referral sources regarding workers' compensation claimants, VA patients, and related inquiries.
• Create patient records, including entering all relevant case information, case management contacts, authorization requirements, and supporting medical records or clinical documentation into the EMR.
• Triage correspondence to schedule appointments using provider protocols and schedule restrictions, relay messages to providers for clinical clarification, release information, or provide status updates based on the needs of the caller or requestor.
• Collaborate with providers and the care team to meet referral source expectations, ensuring timely administrative completion and submission to documented contacts. Follow provider protocols for schedule accommodations, second opinions, insurance requirements, and adherence to turnaround times.
• Manage Workers' Compensation direct fax and mail to ensure timely entry into the EMR and prompt responses.
• Escalate calls to Supervisor or other departments as needed.
• Demonstrate professionalism and patience in all aspects of the role.
• Maintain department productivity levels for customer satisfaction.
• Perform other duties and assist on additional lines as assigned by manager.
• Adhere to established policies, procedures, and scripting to consistently achieve call‑time and quality standards.
• Exemplify the desired culture and philosophies of the organization.
• Key accountabilities: Average Handle Time, Schedule Adherence, Quality, Abandon Rate.

Qualifications

• High School diploma or GED minimum education requirement
• One (1) year telephone experience in a call center setting preferred
• Workers' Compensation knowledge highly preferred, but not required
• Medical terminology knowledge preferred
• Computer skills including, but not limited to, MS Office
• Reliable high‑speed internet access and Wi‑Fi connection required

Benefits

• Competitive pay
• Comprehensive health and dental benefits
• Tuition reimbursement
• Paid time off
• Retirement savings plans

Pay

$19.00/hr - $23.00/hr

Schedule

Monday - Friday: 8:00am - 5:00pm EST (40 hours per week)