- Prepare and submit medical data and authorization requests to WC insurance companies.
- Complete LA state forms 1010s and 1009s with extensive patient documentation, adhering to time restraints and requirements.
- Investigate and appeal denied or insufficiently modified approved treatment requests, seeking assistance from physicians when needed.
- Work closely with physicians to convey treatment recommendations and medical necessity to WC carriers.
- Act as the point of contact for attorneys, addressing questions and concerns related to patient care and WC injuries.
- Document all steps of the process comprehensively for internal understanding and reporting.
- Demonstrate an understanding of LAWC, Maritime WC, Jones Act WC, Longshoreman WC, and Department of Labor WC processes.
- Utilize exceptional organizational skills to manage a high volume of WC cases simultaneously.
- Communicate with providers and external physicians to coordinate treatment approvals and follow up on scheduling statuses.
- Collect outside medical records as needed, particularly when clinics do not obtain them prior to submitting authorization requests.
- Review patient accounts to ensure accurate setup and make corrections when necessary.
- Obtain WC information if not provided before the start of treatment.
- Serve as the point of contact for patients with WC process concerns or questions.
- Possess a general understanding of commonly used treatments and CPT codes for effective communication during authorization requests.
- Stay versed in LA state WC guidelines and be aware of changes and their impact on internal processes.
- Have a general understanding of legal terminology.
- Assist in training coworkers and clinics on WC-related processes and address questions or concerns.
- Perform other duties as assigned by the direct supervisor.
- Previous experience in workers' compensation coordination or a similar role.
- Strong knowledge of workers' compensation laws and regulations.
- Excellent communication and interpersonal skills.
- Ability to work independently and collaboratively in a fast-paced environment.
- Proficient in Microsoft Office Suite and other relevant software; eClinical Works.
- Health, Vision, and Dental Insurance after 60 DAYS
- Continued Education Programs
- Holiday Paid Time Off
- Retirement Plans
-
Newcomer (m/f/d) Sales Office Part-time job
3 weeks ago
Skyline Solutions Harahan, LA, United States FreelanceAre you an experienced sales professional looking for a challenging role that fits perfectly into your life? Lernstudio Barbarossa is searching for a charismatic studio manager for our studio in Kassel, who will enrich our team with life experience and sales knowledge. · Who we a ...
-
Designer (m/f/d) Civil Engineering
2 weeks ago
Apex Dynamics Crescent, United StatesOur Promise · Open and respectful company culture · Collegial and motivated team with spirit, fairness, and responsibility · Professional and personal development opportunities in an agile and future-oriented company · Flexible and hybrid working models · Comprehensive individual ...
-
Full-Time Study Coordinator
1 week ago
Headway Workforce Solutions New Orleans, United States Full timeThis is a remote position. · On behalf of our client, Headway Workforce Solutions is searching for Full-Time Study Coordinators. Study Coordinators are at the core of our client's business. Our client is seeking a motivated, detail-oriented candidate to carry out health education ...
-
Sapphire Technologies Kenner, LA, United States Freelance**Responsibilities**: · - In your role, you actively manage and develop business relationships with our customers in Kenner, LA · - You enjoy analyzing customer potential and acquiring new customers in an agile manner · - Customer and supplier visits are natural tools for you to ...
-
Commercial Clerk
3 weeks ago
Diamond Dynamics Waggaman, LA, United States FreelanceJoin us in Waggaman, LA · The KALTENBACH Group is one of the leading automotive dealer groups in Germany. We have achieved this market position since the company was founded in 1971 through dedication, ideas, creativity, and highly motivated employees. Our product and brand portf ...
-
Attendance Clerk
6 days ago
Luling ISD Luling, United StatesOverview: · We are seeking a detail-oriented and organized individual to join our team as an Attendance Clerk. As an Attendance Clerk, you will play a vital role in maintaining accurate attendance records and providing administrative support to ensure the smooth operation of our ...
-
Planner
20 hours ago
X-Bow Systems Luling, United States**Job Title: Planner** · **Location: Luling, TX - work from home flexibility, with 1-2 days in office a week** · **Overview**:As a **Planner** at X-Bow Systems, you will play a crucial role in managing inventory levels and ensuring timely procurement of materials. Your responsibi ...
-
Wealth Management Client Sales Specialist
1 week ago
First Horizon Advisors, Inc. Metairie, United StatesLocation: On site at location listed in job posting. · SummaryThe Wealth Management Client Specialist will be actively involved in supporting advisor(s) through a full service platform. Assists in achievement of sales revenue by customer contact, relationship building, referral s ...
-
medical scribe
2 days ago
ScribeAmerica Metairie, United StatesJob Description: · 20 years ago we set the standard for medical scribes. Today we're redefining it. ScribeAmerica is a growing organization with real opportunities to advance your career in the healthcare field. Join physicians and providers on the front lines and gain valuable e ...
-
Legal Specialist Sr
1 week ago
Elevance Health Metairie, United States· Location: Elevance Health supports a hybrid workplace model (virtual and in-office) with PulsePoint sites used for collaboration, community, and connection. This includes remote work and 1-2 days in office per week. Candidates must reside within a 50-mile or 1-hour commute eac ...
-
Service Team Coordinator
1 week ago
ChenMed Metairie, United States Part timeWe're unique. You should be, too. · We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? · We're different than ...
-
Service Advisor
2 days ago
Walker Acura Metairie, United StatesJob Title: Service Advisor · Department: Service · Reports to: Service Manager · Location: Walker Acura - Metairie, Louisiana · Employment Type: Full Time - Commission Only · Job Category: Customer Service - Automotive Industry · FLSA Status: Individual Contributor · Job S ...
-
Board Certified Assistant Behavior Analyst
1 week ago
Butterfly Effects Metairie, United StatesWe are looking for passionate BCaBA to help us fulfill our mission to make a socially meaningful change in the lives of children and families. We want you to enjoy coming to work, so we dedicate and commit ourselves to making our teams feel valued, respected, and heard. · This is ...
-
Team Marketing Administrative Assistant
1 week ago
ELIFIN Metairie, United StatesWho we are: · ELIFIN is a commercial real estate firm that consists of people who strive to stand apart from the competition. We don't like doing things "because that's how it's always been done." We're going to hustle until we're #1, then we'll hustle to maintain a world-class l ...
-
Dispatcher
1 week ago
UASA Metairie, United StatesJob Title: Dispatcher · Job Type: Full-Time · Location: Metairie, LA · Summary: · We are seeking a highly motivated and efficient Dispatcher to join our team. The Dispatcher will be responsible for coordinating, dispatching, and logistical services to ensure timely services t ...
-
Senior Assistant Buyer
2 weeks ago
Aucoin Hart Jewelers Metairie, United StatesJob Summary: · We have a career opportunity for an Assistant Jewelry Buyer working in our Merchandising Department. This position calls for a merchandising professional with knowledge of fashion, retail and inventory coordination. Requires an ability to assist in sourcing and cur ...
-
Staff Engineer
1 week ago
BDI BRIDGE DIAGNOSTICS Metairie, United StatesJob Description · Job DescriptionWhat We Are Looking For: · We are looking for a highly motivated, knowledgeable, and versatile individual to join our engineering staff. This role will work closely with our technicians, clients, and other engineers on all aspects of projects with ...
-
Structural Engineer
1 week ago
BDI BRIDGE DIAGNOSTICS Metairie, United StatesJob Description · Job DescriptionWhat We Are Looking For: · We are looking for a highly motivated, knowledgeable, and versatile individual to join our engineering staff. This role will work closely with our technicians, clients, and other engineers on all aspects of projects with ...
-
medication nurse lpn
1 week ago
Sunrise Senior Living Metairie, LA , USA, United StatesSunrise Senior Living was again certified as a Great Place to Work by Activated Insights. This is the 6th time Sunrise has received this top culture and workplace designation, highlighting the special place Sunrise is to be a part of. · COMMUNITY NAME · Sunrise of Metairie · Job ...
-
Customer Service Representative
5 days ago
Daniel Holstein - State Farm Agent Metairie, United StatesBenefits:Bonus based on performance · Competitive salary · Dental insurance · Health insurance · Opportunity for advancement · Paid time off · Vision insurance · ROLE DESCRIPTION: · As a Customer Service Representative - State Farm Agent Team Member with Daniel Holstein - State ...
Worker's Compensation Coordinator - Metairie, United States - LA Health Solutions
Description
LA Health Solutions is an integrated medical facility withclinics across the Greater New Orleans and Baton Rouge area. Our goal isto continue our mission in providing our patients with the highest level ofcare and compassion they deserve in a personalized setting.
Location: Metairie, LA 70002
Hours: Fulltime Monday - Friday 8am - 5 pm
Job Overview:
LA Health Solutions is seeking a highly organized and detail-oriented Workers Compensation Coordinator to join our team. The ideal candidate will be responsible for managing the Workers Compensation (WC) process, ensuring the accurate and timely submission of medical data, authorization requests, and supporting documentation to WC insurance companies. The Workers Compensation Coordinator will collaborate with physicians, attorneys, and other stakeholders to navigate the WC system, address concerns, and facilitate efficient patient care.
Responsibilities:
Education: High school diploma orequivalent, An associate degree in Business, Health Care Administration,Accounting or relevant field preferred.
Benefits:
