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Workers' Compensation-Medlegal Coordinator

Company: Orthopedic Associates of Middletown
Location: Middletown
Posted on: May 3, 2022

Job Description:

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 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 Prepare and send Fee Schedules for prepayments of IMEs and Second 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 Perform continual follow-up with adjusters and/or case managers on claim status Posts all pre-payments to the patient ledger, scans copy of payment to patient chart Maintains contact with attorney's offices regarding status of litigated claims, to include obtaining Letter of Protection and final payment on outstanding accounts Assists Admin and Surgical Scheduling staff with authorizations for procedures and surgeries, provides fee schedules for proposed procedures and surgeries 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 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 workflows Qualifications: 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 , Workers' Compensation-Medlegal Coordinator, Other , Middletown, Connecticut

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