Workers' Compensation Coordinator - AVALA Spine

Summary

The Workers’ Compensation Coordinator supports injured workers through scheduling, authorizations, and care coordination. This role ensures clear communication between patients, providers, adjusters, and case managers while maintaining accurate documentation and smooth clinic workflows.

• Enter patient demographics, claim details, and billing information accurately.
• Gather and upload medical records and injury-related documentation.
• Provide pre‑registration instructions and clinic information to patients and WC partners.

• Schedule WC appointments based on provider availability and patient needs.
• Track patient status and ensure appointments align with treatment plans.
• Coordinate approved services with imaging centers, PT clinics, and specialists.

• Submit prior authorizations for ordered services, procedures, and office visits.
• Include required documentation and work status reports.
• Follow up with adjusters/case managers and submit appeals when needed.

• Serve as a liaison between patients, providers, adjusters, nurse case managers, and attorneys.
• Maintain timely, accurate documentation of all communications and case updates.
• Support cross department workflows and assist with administrative tasks as needed.

• Prior healthcare experience required, WC or authorization experience preferred.
• Strong communication, organization, and documentation skills.
• Ability to navigate EMRs, scheduling systems, and Windows based applications.
• High attention to detail, professionalism, and confidentiality (HIPAA compliant).