Job Description

Coordinates all Worker’s Compensation/PIP Auto matters for the practice and physicians. Serves as a liaison between physicians and outside payors, case managers, adjustors, and employers to ensure timely care and submission of patient information.

Key Responsibilities

• Promptly schedules worker's compensation & PIP patient appointments
• Obtains authorizations for office visits, diagnostic testing, injections, physical therapy, occupational therapy, DME and surgery (when needed) and follow up on these authorizations to make sure they are approved/scheduled
• Submits all required forms to the insurance adjuster in a timely manner
• Facilitates all communications with insurance adjusters, employers, lawyers, and patients
• Ensures the process following an injury runs smoothly
• Follows up with adjusters and case managers on claims to assist patients
• Liaisons with prospective employers
• Responds promptly to voicemails, emails, and task
• Arrange peer to peer calls between providers, adjuster and PreCert departments
• Greeting and directing patients
• Completing patient forms and explaining the next steps after patient appointments

Shared Duties/Other

• Ensures that all faxes are cleared off the machine (or routed in the system) and distributed throughout the day
• Sorts incoming reports and directs to appropriate person if not addressed properly
• Maintains detailed knowledge of practice management and other computer software as it relates to job functions
• Maintains and respect the confidentiality of patient information in accordance with company policy & procedure, and
• HIPAA & compliance guidelines
• Attends regular staff meetings and continuing education sessions as requested
• Presents professional image in manner, appearance, motivation and work habits
• Regular attendance is required
• Performs other duties as assigned

Critical Skills & Attributes

Academic/Technical Qualifications

• HS diploma or GED required
• Bachelor’s degree strongly preferred

Industry Experience

• Minimum of 1 years’ experience in a physician group practice
• Minimum of 1 years’ experience working with WC/PIP Auto Cases
• Good analytical skills and an affinity for detail
• Knowledge of HIPPA & OSHA guidelines
• Working knowledge of medical practice management systems and electronic medical records
• Basic knowledge of computers and medical terminology is mandatory

Communication Skills

• Excellent verbal, written, and interpersonal skills
• Ability to work well with physicians, employees, patients, and others
• A committed and result-driven attitude to work as a high ethical and professional standard.
• Unquestionable commitment to confidentiality, quality customer service and professionalism.

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

OrthoNJ, LLC is required by New Jersey law to include the salary range for this role. The hiring range for this role is $19 - $24 per hour. The range for this role is typically determined by several factors, including the geography in which the selected candidate will be working, and alignment with qualifications and experience. Certain roles may also be eligible for additional compensation (bonus, etc.) and/or benefits. In addition, full-time employees are eligible for standard benefits package including paid time off, medical, dental, vison and retirement plan.