Coordinator-Medical Review

Job description

Department: UHC: Workers Compensation Job Summary: The Medical Review Coordinator manages the authorization process for work comp specialty and ancillary referrals. Provide assistance to clinical and front office staff with authorization related issues, assists patients with referral and insurance issues ensuring authorization is obtained for office visits and/or office procedures. Populates the Workers’ Compensation forms with the history of present illness, medical history, and review of systems. Drafts the impairment rating for the medical provider’s review. Performs other duties as needed. Education and Experience: High School diploma or GED. Three years of workers' compensation experience required. Previous editing and historian experience preferred, especially with medical-legal recording to AOE/COE/QME/AME. Authorization procurement experience preferred. Knowledge and Skills: Intimate knowledge of workers' compensation guidelines and regulations. Knowledge of CPT and ICD codes preferred. In-depth medical terminology knowledge. Able to keyboard 30 wpm. Able to use a computer, printer, and software programs such as Microsoft Office Word and Outlook. Operate/troubleshoot basic...