Workers' Compensation-Medlegal Coordinator
Company: Orthopedic Associates of Middletown
Location: Middletown
Posted on: May 3, 2022
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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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