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Worker's Comp and Personal Injury Coordinator- Tinley Park
Worker's Comp and Personal Injury Coordinator- Tinley ParkPrimus Ortho • Tinley Park, IL, US
Worker's Comp and Personal Injury Coordinator- Tinley Park

Worker's Comp and Personal Injury Coordinator- Tinley Park

Primus Ortho • Tinley Park, IL, US
30+ days ago
Job type
  • Full-time
Job description

Job Description

Job Description

Salary :

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.
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    Personal Injury Comp • Tinley Park, IL, US