Worker's Comp and Personal Injury Coordinator- Tinley Park

Primary Responsibilities

1. Patient Communication & Appointment Coordination Answer incoming phone calls directed by the auto-attendant or front desk. Check and return voicemails promptly. Monitor and respond to emails consistently. Make patient appointments, especially new patients referred by trusted sources. Provide updates and guidance to patients regarding authorizations, procedures, and expectations.
2. Insurance & Legal Documentation Ensure complete insurance and attorney information is gathered for all new patients. Enter insurance and attorney details for past patients as information becomes available. Prepare liens for personal injury (PI) cases at the onset of treatment. Obtain authorizations for physical therapy (PT) and other treatments. Appeal denied authorizations by gathering necessary documentation and coordinating with the doctor. Work on claim denials (identify reason, gather support, contact insurance). Facilitate Peer-to-Peer discussions between physicians and insurance reviewers as needed. Send itemized bills in response to medical records requests.
3. Clinic Preparation & Follow-Up Review the schedule for the following day to ensure readiness. Verify patient details for: WMC (Workers' Comp – Accepted) LWC (Litigated/Non-Accepted Workers' Comp) PI (Personal Injury) DOL (Department of Labor) Confirm or obtain missing information: Case status (Open/Accepted) Accepted body part(s) Adjuster and Nurse Case Manager (NCM) contact information Utilization Review department contacts Billing addresses Attorney information, if applicable Print updated FCS (patient summary) Expectations & Qualifications Detail-Oriented: Ability to manage and organize detailed records and retrace steps when needed. Strong Communicator: Act as the central coordinator between doctors, adjusters, nurse case managers, attorneys, physical therapists, and internal staff. Patient Interaction: Explain procedures, system processes, and authorization updates professionally and clearly. Relationship Building: Maintain proactive communication with referring doctors and facilities to support ongoing patient referrals. Professionalism: Display patience, courtesy, and a high level of professionalism at all times. Task Management: Maintain an up-to-date task list to ensure deadlines are met and follow-ups are completed. Additional Responsibilities Participate in special projects or other duties as assigned by supervisors or management.