Workers Compensation Coordinator

This is a Fully Remote Job.

About the role

The organization operates in the healthcare sector, focusing on providing integrated primary, multispecialty, and urgent care services. It addresses challenges in healthcare accessibility and coordination by delivering patient-centric care across traditional clinical settings, patients'' homes, and virtual platforms. The network serves millions of patients through multiple operating companies and aims to improve healthcare outcomes while managing total costs through value-based care and integrated applications.

The Workers'' Compensation Coordinator plays a crucial role in managing the scheduling and coordination of Workers’ Compensation appointments within the healthcare network. This position ensures timely authorization, referral coordination, and communication among payers, employers, patients, and clinical offices to facilitate appropriate care for work-related injuries. The role impacts patient access and operational efficiency in the Workers’ Compensation program.

Responsibilities

• Schedule Workers’ Compensation appointments from internal referrals or external sources promptly
• Obtain initial and advanced treatment authorizations from payer contacts before scheduling
• Build and maintain accurate patient records including claim and authorization details
• Verify completion of required Workers’ Compensation intake forms and update records
• Communicate professionally with patients, payers, and employers regarding appointment details and referrals
• Make outbound and manage inbound communications related to Workers’ Compensation scheduling
• Address appointment cancellations by coordinating rescheduling efforts
• Collaborate with clinical offices to ensure compliance with centralized Workers’ Compensation workflows
• Utilize CRM and referral management tools to coordinate referrals and track case progress
• Adhere to HIPAA and regulatory requirements for handling private health information
• Follow call center schedules and meet call quality standards
• Work with multiple departments to ensure seamless patient care and operational processes
• Collaborate with Sales, Employer Concierge, and Operations teams to resolve issues and enhance customer satisfaction
• Perform additional duties as assigned

Requirements

• Bachelor’s Degree in Public Health, Business, Hospitality Management, or related field preferred
• Experience with patient scheduling and call center environments preferred
• Experience managing Workers’ Compensation cases and working with payer contacts
• Proficiency in Microsoft Office, CRM (Salesforce), and outpatient scheduling systems (e.g., Athena, Epic, Referwell)
• High attention to detail and strong interpersonal and communication skills
• Positive attitude and adaptability to fast-paced environments
• Ability to work independently and collaboratively
• Spanish language skills are a plus
• Commitment to delivering outstanding results and compassionate service