AVALA
Workers' Compensation Coordinator - AVALA Spine - Full-Time
AVALA, Covington, Louisiana, United States, 70435
Workers' Compensation Coordinator – AVALA Spine – Full‑Time
AVALA is seeking a skilled workers' compensation coordinator to join our team and manage scheduling, authorization requests, and care coordination for injured workers.
Summary As part of the Workers’ Compensation coordination team, the coordinator ensures clear communication among patients, healthcare providers, carriers, case managers, and attorneys. The role supports timely claims processing and the delivery of appropriate medical services while maintaining compliance with regulatory standards.
Responsibilities
Collect and accurately input patient demographics, payer/claim information, and billing details.
Obtain medical records and documentation related to injury and prior treatment.
Provide patients, adjusters, and nurse case managers with pre‑registration instructions and clinic directions.
Coordinate and schedule workers’ compensation appointments within provider schedules.
Maintain oversight of WC appointments to match patient status and treatment requirements.
Ensure all necessary medical documentation is collected and uploaded to the chart prior to appointments.
Prepare and organize patient files to support provider evaluation and treatment planning.
Submit prior authorization requests and include supporting documentation and work status reports.
Collaborate with adjusters and nurse case managers to obtain timely approvals.
Submit appeals when necessary and document all authorization activity in the EHR.
Coordinate approved services with external providers and communicate follow‑up instructions to patients.
Act as a liaison between patients, providers, adjusters, nurse case managers, and attorneys to ensure cohesive communication.
Maintain clear and ongoing communication with all parties involved and accurately document all communications.
Manage calendars and tasks to ensure timelines and treatment plans are followed.
Ensure strict confidentiality and proper handling of sensitive case information.
Assist with communications, administrative tasks, and cross‑departmental coordination as needed.
Participate in training and educational opportunities to stay current with job knowledge and industry best practices.
Professional Requirements
Prior healthcare experience required; experience with medical authorizations and/or care coordination preferred.
Workers’ compensation experience preferred.
Proven administrative or assistant experience in a medical or clinical setting.
Ability to read and interpret electronic medical records and treatment plans.
Knowledge of HIPAA regulations and commitment to patient confidentiality.
Demonstrated professionalism in all duties and communications.
Strong customer service orientation and effective communication across roles.
Dependable, adaptable, and able to work collaboratively in a team environment.
Regulatory Requirements
High school diploma, GED, or equivalent required.
Additional degrees, certifications, or training may be considered.
Computer skills and dexterity required for data entry and retrieval of patient information.
Proficiency with Windows‑based applications and medical software systems.
Previous experience with medical software and scheduling platforms preferred.
Skills
Excellent verbal and written communication skills.
Strong organizational, calendaring, and administrative skills.
High attention to detail with accurate record‑keeping and documentation.
Excellent time management with ability to multitask and meet deadlines.
Proficiency in Microsoft Excel and other office software.
Strong problem‑solving and critical thinking abilities.
Effective prioritization skills in a fast‑paced environment.
Physical Demands The position requires frequent talking and hearing, repetitive motions, standing, walking, bending, kneeling and stooping all day, and lifting or moving items weighing up to 50 pounds.
Seniority Level Entry level
Employment Type Full‑time
Job Function Human Resources
Industries Hospitals and Health Care
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Summary As part of the Workers’ Compensation coordination team, the coordinator ensures clear communication among patients, healthcare providers, carriers, case managers, and attorneys. The role supports timely claims processing and the delivery of appropriate medical services while maintaining compliance with regulatory standards.
Responsibilities
Collect and accurately input patient demographics, payer/claim information, and billing details.
Obtain medical records and documentation related to injury and prior treatment.
Provide patients, adjusters, and nurse case managers with pre‑registration instructions and clinic directions.
Coordinate and schedule workers’ compensation appointments within provider schedules.
Maintain oversight of WC appointments to match patient status and treatment requirements.
Ensure all necessary medical documentation is collected and uploaded to the chart prior to appointments.
Prepare and organize patient files to support provider evaluation and treatment planning.
Submit prior authorization requests and include supporting documentation and work status reports.
Collaborate with adjusters and nurse case managers to obtain timely approvals.
Submit appeals when necessary and document all authorization activity in the EHR.
Coordinate approved services with external providers and communicate follow‑up instructions to patients.
Act as a liaison between patients, providers, adjusters, nurse case managers, and attorneys to ensure cohesive communication.
Maintain clear and ongoing communication with all parties involved and accurately document all communications.
Manage calendars and tasks to ensure timelines and treatment plans are followed.
Ensure strict confidentiality and proper handling of sensitive case information.
Assist with communications, administrative tasks, and cross‑departmental coordination as needed.
Participate in training and educational opportunities to stay current with job knowledge and industry best practices.
Professional Requirements
Prior healthcare experience required; experience with medical authorizations and/or care coordination preferred.
Workers’ compensation experience preferred.
Proven administrative or assistant experience in a medical or clinical setting.
Ability to read and interpret electronic medical records and treatment plans.
Knowledge of HIPAA regulations and commitment to patient confidentiality.
Demonstrated professionalism in all duties and communications.
Strong customer service orientation and effective communication across roles.
Dependable, adaptable, and able to work collaboratively in a team environment.
Regulatory Requirements
High school diploma, GED, or equivalent required.
Additional degrees, certifications, or training may be considered.
Computer skills and dexterity required for data entry and retrieval of patient information.
Proficiency with Windows‑based applications and medical software systems.
Previous experience with medical software and scheduling platforms preferred.
Skills
Excellent verbal and written communication skills.
Strong organizational, calendaring, and administrative skills.
High attention to detail with accurate record‑keeping and documentation.
Excellent time management with ability to multitask and meet deadlines.
Proficiency in Microsoft Excel and other office software.
Strong problem‑solving and critical thinking abilities.
Effective prioritization skills in a fast‑paced environment.
Physical Demands The position requires frequent talking and hearing, repetitive motions, standing, walking, bending, kneeling and stooping all day, and lifting or moving items weighing up to 50 pounds.
Seniority Level Entry level
Employment Type Full‑time
Job Function Human Resources
Industries Hospitals and Health Care
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