Workers Compensation Coordinator-Part-Time Remote

COMPANY SUMMARY

At Sano, we believe exceptional patient care starts with exceptional people. We are seeking a part-time motivated professional who is passionate about the work they do, thrives as a collaborative team player, and is committed to the pursuit of better—for our patients, our teammates, and themselves. The ideal candidate embraces continuous improvement, builds strong relationships, and contributes to a culture of excellence and accountability.

EMPLOYEE BENEFITS

We are committed to supporting the health, well-being, and professional growth of our team members. Eligible employees may receive a comprehensive benefits package that includes:

• Medical, dental, and vision insurance

• Health Savings Account (HSA), Healthcare Flexible Spending Account (FSA)and Dependent Care Accounts (DCFSA)

• Company paid Life and Accidental Death and Dismemberment Insurance

• Voluntary benefits (Life, Short and Long-term Disability, Accident, Critical Illness, Hospital Indemnity, etc.)

• Employee Assistance Program (EAP)

• Paid Time Off (PTO) and Paid holidays

• 401(k) retirement plan with employer match

• Continuing education and professional development opportunities (position specific)

• Employee wellness initiatives

• Employee Referral Bonus Program

*Benefit eligibility and offerings are subject to plan terms and employment status.

POSITION SUMMARY

The Workers’ Compensation (WC) Coordinator is responsible for handling Work Comp claims for Sano. The WC Coordinator will assist the physician in patient treatment and communication and serve as a liaison for all parties involved in Work Comp cases. The WC Coordinator is an extension of the practice and expected to make the workplace an efficient and effective environment and maintain proper standards of quality and integrity. The WC Coordinator reports directly to the Work Comp Lead.

PRIMARY RESPONSIBILITY

• Optimize and nurture the Workers’ Compensation patient experience.

• Serve as liaison to patients and their representatives (Nurse Case Manager, Claims Adjuster, Employer, Attorney, etc.)

• Build and maintain strong relationships with Nurse Case Managers and Claims Adjusters.

• Assist patients with questions and provide a better understanding about the WC process.

• Serve as central hub of communication for the Workers’ Compensation Department.

• Support providers and clinic teams with tasks related to a WC claim.

• Schedule WC appointments.

• Ensure proper authorization is obtained for appointments.

• Collect all claim information and enter into EMR system.

• Obtain medical records and imaging for appointments as needed.

• Filter incoming documents and assign them to appropriate parties as needed (fax, email, mail).

• Send progress notes, operative reports, imaging reports, work status notes, etc. to appropriate recipients.

• Prepare rating reports for providers and obtain prepayment for reports.

• Facilitate attorney communication as needed.

• Schedule and bill for Independent Medical Evaluations (IMEs).

• Schedule and bill for legal reports, depositions, and attorney conferences.

• Ensure payment is received from insurance carriers, employers, and attorneys for services rendered.

• Assist the Revenue Cycle Management department with WC billing issues as needed.

• Obtain prior authorization for WC procedures, surgeries, imaging, DME, physical therapy, and other medically related items.

• Quickly and accurately respond to emails throughout the day.

• Monitor and respond to Teams and Klara messages throughout the day.

• Answer phone calls from the Work Comp line and check voicemails daily.

• Attend mandatory staff meetings and occasional WC Conferences (virtual and on-site)

• Adhere to all company policies and procedures.

• Assist the Workers’ Compensation Lead with tasks and projects as required.

• Other duties as assigned.

SKILLS

• Understanding of Internal Classification of Diseases (ICD) and Common Procedural Terminology (CPT) coding

• Knowledge of medical terminology

• General computer skills, especially with Microsoft Office Applications (i.e. – Word, PowerPoint, and Excel)

• Data Entry

• Excellent Communication Skills

• Strong Customer Service Skills

• EMR experience (eClinicalWorks preferred)

• Computer software/hardware troubleshooting

COMPETENCIES

• Ability to function effectively under tight time constraints, consistently meet strict deadlines, prioritize, and handle multiple tasks in a demanding work environment

• Ability to represent the company in a professional manner both internally and externally

• Goal-oriented and self-motivated. Is proactive, committed, has high standards, and does what it takes to get the job done

• Ability to work independently and effectively in a team environment

• Ability to show initiative, good judgment, and resourcefulness

EDUCATION AND QUALIFICATIONS

• Business experience preferred

• Associate’s degree(preferred)

• Work requires knowledge of Workers’ Compensation state and federal laws

EQUAL OPPORTUNITY STATEMENT

Sano is committed to the principles of equal employment. We are committed to complying with all federal, state, and local laws providing equal employment opportunities, and all other employment laws and regulations. It is our intent to maintain a work environment that is free of harassment, discrimination, or retaliation because of age (40 and older), race, color, national origin, ancestry, religion, sex, sexual orientation (including transgender status, gender identity or expression), pregnancy (including childbirth, lactation, and related medical conditions), physical or mental disability, genetic information (including testing and characteristics), veteran status, uniformed servicemember status, or any other status protected by federal, state, or local laws. Sano is dedicated to the fulfillment of this policy in regard to all aspects of employment, including but not limited to recruiting, hiring, placement, transfer, training, promotion, rates of pay, and other compensation, termination, and all other terms, conditions, and privileges of employment.

Originally posted on Himalayas