Job Description
Benefits:- 401(k)
- Bonus based on performance
- Company parties
- Competitive salary
- Dental insurance
- Health insurance
- Opportunity for advancement
- Paid time off
- Training & development
- Vision insurance
Patient Scheduling and Coordination
- Must be able to speak Spanish fluently
- Schedule initial evaluations, follow-up visits, psychological testing, and medication management appointments
- Coordinate appointments in accordance with authorization status and treatment plans
- Manage urgent referrals and priority cases based on claim requirements
- Maintain accurate provider calendars across multiple clinicians and locations (in-person and telehealth)
Workers’ Compensation Authorization Workflow
- Confirm treatment authorization prior to scheduling when required
- Track RFAs, approvals, deferrals, and denials
- Monitor authorization expiration dates and visit limits
- Coordinate scheduling adjustments based on UR determinations
Adjuster and Case Manager Communication
- Serve as a scheduling liaison with claims adjusters, nurse case managers, and employer representatives
- Confirm appointment approvals and provide scheduling updates
- Respond to adjuster inquiries regarding availability and treatment status
- Assist with rescheduling when claim conditions change
MPN Compliance Support
- Verify injured worker eligibility within Medical Provider Networks
- Ensure scheduling aligns with MPN participation requirements
- Maintain documentation supporting network status when requested
Intake and Documentation Coordination
- Collect and confirm required referral documentation before appointments
- Ensure intake packets are completed prior to evaluation
- Enter accurate appointment details into EHR systems
- Maintain compliance with HIPAA and workers’ compensation documentation standards
Attendance Monitoring and Reporting
- Track cancellations, no-shows, and reschedules
- Communicate missed appointment activity to adjusters when required
- Support reporting requests related to treatment frequency and utilization
Numbers & Facts
| Location | 5900 Sepulveda Blvd Ste 370, CA |
| Job Type | Full-time |
Skills
Calendar Managementunmatched
Case Managementunmatched
Certified Case Manager (CCM)unmatched
Claims Processingunmatched
Dental Insuranceunmatched
Documentation Standardsunmatched
HIPAA (Health Insurance Portability and Accountability Act)unmatched
Health Insuranceunmatched
Healthcare Providersunmatched
Maintain Complianceunmatched
Medical Testsunmatched
Network Administration/Managementunmatched
Network Supportunmatched
Organizational Skillsunmatched
Patient Care Authorizationsunmatched
Plan Meetingsunmatched
Psychological Testingunmatched
Spanish Languageunmatched
Support Documentationunmatched
Telehealthunmatched
Training/Teachingunmatched
Treatment Planunmatched
Vision Planunmatched
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