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Work Comp Med Legal Patient Coordinator , SIGN ON BONUS Orthopedic Associates of Middletown

Company: Orthopedic Associates of Middletown
Location: Middletown
Posted on: May 14, 2022

Job Description:

About ONS: Headquartered in Greenwich, Connecticut, ONS is a multi-specialty orthopaedic and neurosurgery physician group including 32 doctors with locations in New York and throughout Connecticut. The organization has been the region's most comprehensive and advanced practice of its kind for more than 20 years. ONS's clinical offering covers a wide range of sub-specialties including orthopedics, rheumatology, sports medicine, joint replacement, neurosurgery, physiatry and services such as physical therapy, MRI, ambulatory surgery, and urgent orthopedic care. Twenty-two ONS physicians have been named Top Doctors by Castle Connolly.--- Doctors rotate through the sites to provide the full range of services at each location. For more information, visit www.onsmd.com
We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation of our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at 203-869-1145 (for reasonable accommodation requests only).Please provide all information requested to assure that you are considered for current or future opportunities. We are an equal opportunity employer. Qualified Applicants are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other classification protected under applicable Federal, State or Local law.Summary: ONS is seeking a Worker's Comp/Med Legal Coordinator to join our team in Middletown, CT. We are a growing practice with ample opportunity for career growth. Competitive salary and benefits offered.Responsibilities:

  • Main point of contact for all patients regarding worker's compensation, auto accident, or no fault injury cases
  • Contacting patient employers for Worker's Compensation case information and claim details
  • Obtaining, verifying, and documenting all worker's compensation, auto accident, and no-fault claim and insurance information, including commercial insurance payers
  • Daily phone, fax, and email communication with insurance companies and attorneys regarding claims
  • Contacting adjuster or legal representative/attorney for case information, to include client information, and schedule appointments as necessary
  • Maintains spreadsheet tracking of new patient referrals
  • Obtaining timely insurer authorizations related to proposed treatment plans
  • Prepare and send Fee Schedules for prepayments of IMEs and 2nd opinion exams, Medical Record Reviews, Final Ratings - tracks on the internal department spreadsheet
  • Receives and processes medical records and other pertinent documents for the above services and provides to the Physician in a timely manner
  • Schedules IMEs, RMEs, Medical Record Reviews, Final Ratings, depositions, attorney-physician calls and/or meetings
  • Maintains Physician calendars for Depositions, IMEs, MRR, and Final Ratings
  • Works with Transcription, Physician, adjusters, law offices, vendors to ensure all Physician letters and/or reports are completed and returned in a timely manner
  • Follow-up with case managers, adjustors or attorney offices regarding payment needed for Fee Schedules previously sent, outstanding balances
  • Liaison between the physician and insurance carrier, legal representative/attorney
  • Perform continual follow-up with adjusters and/or case managers on claim status
  • Coordinates with law offices, legal representative/attorney to obtain Letters of Protection as appropriate
  • Posts all pre-payments to the patient ledger, scans copy of payment to patient chart
  • Request status updates, periodic reviews on litigated claims
  • Contacts Attorney's office to ensure the case is still current
  • Assists Admin and Surgical Scheduling staff with authorizations for procedures and surgeries, provides fee schedules for proposed procedures and surgeries
  • Attends and/or assists with worker's compensation hearings
  • Documents and communicates all claim activity in a timely manner
  • Responds to emails (internal and external), voicemails, EMR tasks, fax communication, department mail
  • Answers and triages department phone calls (internal and external); response to patients, law offices/attorneys, outside referral agencies promptly
  • Verifies and documents approvals and faxes, and routes information as appropriate
  • Coordinating and developing relationships with multiple Worker's Compensation carriers, adjusters, law offices/attorneys, vendors, and referring providers
  • Negotiates and approves settlements/reductions within the prescribed limit as directed by VP of Operations
  • Communicates billing changes and/or policies to law offices/attorneys and patients
  • Provides billing statements to law offices/attorneys as requested
  • Works with Billing Liaison and Supervisor to update billing claims
  • Performs all other tasks and projects assigned by Supervisor or VP of Operations
  • Works closely with Supervisor on department issues, outside complaints, and workflowsIND2
    • Medical Specialist office experience preferred.
    • Paralegal experience preferred to include knowledge of Letters of Protection, Final Ratings, WC hearings, and No-Fault claims.
    • Ability to use computerized systems.
    • Must be detail-oriented and accurate.
    • Time Management and Multi-tasking skills.
    • Ability to work well under pressure.
    • Strong interpersonal and customer service skills.
    • Knowledge of different insurance carriers and plan types is a plus.

Keywords: Orthopedic Associates of Middletown, Middletown , Work Comp Med Legal Patient Coordinator , SIGN ON BONUS Orthopedic Associates of Middletown, Healthcare , Middletown, Connecticut

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