Work Comp Care Coordinator

We are a busy orthopedic surgery practice seeking a Workers' Compensation Care Coordinator to manage and coordinate care for patients with work-related injuries. This role is critical to ensuring seamless communication between patients, providers, employers, adjusters, and insurance carriers while maintaining compliance with workers' compensation requirements.

The ideal candidate has hands-on experience with workers' compensation insurance and orthopedic surgery, understands the administrative and clinical nuances of WC cases, and thrives in a detail-driven, fast-paced environment.

Qualifications

• High school diploma or equivalent required
• Prior experience working with Workers' Compensation insurance required
• Experience in an orthopedic surgery or musculoskeletal practice strongly preferred
• Strong understanding of workers' compensation workflows, requirements, and authorization processes
• Familiarity with WC patient intake and case setup
• Proficiency with EMR systems
• Excellent organizational, communication, and follow-up skills
• Ability to multitask and manage multiple cases simultaneously
• Professional and effective communication style with patients, providers, and external stakeholders

Key Responsibilities

• Coordinate all aspects of care for workers' compensation patients from intake through treatment completion
• Manage WC patient intake, including verification of claim details, employer information, adjuster contact information, and authorization status
• Serve as the primary point of contact between the practice, workers' compensation adjusters, nurse case managers, employers, and patients
• Communicate with insurance adjusters to obtain and track authorizations for visits, imaging, procedures, therapy, and surgeries
• Ensure all services rendered are appropriate, authorized, and documented in accordance with workers' compensation guidelines
• Prepare and submit required documentation, reports, and clinical records to insurance carriers and case managers as needed
• Monitor case progression and proactively address delays, denials, or gaps in authorization
• Coordinate follow-up care, referrals, imaging, physical therapy, and post-operative services related to WC cases
• Maintain accurate and compliant documentation within the EMR and workers' compensation systems
• Collaborate closely with physicians, clinical staff, and administrative leadership to ensure continuity of care and efficient clinic operations

What We Offer

• Full-time position with consistent schedule
• Team-oriented orthopedic practice with experienced providers
• Opportunity to play a key role in a specialized, high-impact area of patient care

Interested candidates are encouraged to submit their resume and relevant experience for consideration.

Pay: $ $30.00 per hour

Expected hours: 40.0 per week

Benefits:

• 401(k)
• Health insurance
• Paid time off

Work Location: In person