Job Description

Description:

Premier Pain Solutions seeks a dedicated and experienced Worker's Compensation Case Manager to join our medical office team. As a crucial liaison between our medical practitioners and patients involved in Worker's Compensation cases, you will play a pivotal role in ensuring efficient and compassionate care delivery. This position requires excellent organizational skills, a deep understanding of medical procedures and terminology, as well as strong communication abilities to effectively coordinate patient care and manage case details.

RESPONSIBILITIES INCLUDE:

Case Coordination and Management:

Oversee a portfolio of worker's compensation cases as the primary point of contact for patients and legal representatives involved, and ensure all necessary documentation and information are accurately recorded and maintained. Coordinate appointments, consultations, and treatments for patients according to their care plans and maintain accurate and detailed records of patient treatments, progress, and billing information. Ensure timely communication and updates to all parties involved in the case, including medical staff, insurance providers, and legal representatives. Monitor and meet deadlines for filing paperwork, responding to inquiries, and scheduling appointments to ensure timely resolution of cases.

Patient Advocacy:

Advocate for patients' needs and ensure they receive appropriate medical care and support throughout their recovery process. Educate patients and their families on treatment options, procedures, and expected outcomes.

Documentation and Compliance:

Prepare and review medical reports, records, billing, and other documentation required for legal proceedings and insurance claims. Ensure compliance with legal and regulatory requirements related to personal injury cases.

Team Collaboration and Continuous Learning:

Collaborate closely with physicians, nurses, and other healthcare professionals to facilitate comprehensive patient care. Participate in case conferences and meetings to discuss patient progress and treatment plans. Stay updated on developments in workers compensation law, regulations, and best practices to enhance knowledge and performance in the role. Other duties as assigned.

Requirements:
Bachelor's degree in a relevant field or 3-5 years' proven experience as a Case Manager in a medical, healthcare, or legal office setting, particularly with personal injury cases. Strong knowledge of medical terminology, treatments, and procedures Excellent organizational and time-management skills with the ability to prioritize tasks effectively. Exceptional interpersonal and communication skills, with the ability to interact effectively with patients, families, medical staff, and legal professionals. * Proficiency in using electronic medical records (EMR) systems and other relevant software preferred.