AVALA · 1 day ago
Workers' Compensation Coordinator - AVALA Spine - Full-Time
Covington, LA
Full-time
Onsite
New Grad, Entry LevelAVALA is a company focused on managing workers' compensation processes, and they are seeking a Workers' Compensation Coordinator. This role involves scheduling, authorization requests, and care coordination for injured workers, ensuring effective communication among all stakeholders involved in the claims process.
Health CareHospitalMedical
Responsibilities
Collect and accurately input patient demographics, payer/claim information, and billing details to ensure appointments and services are processed correctly
Obtain medical records and documentation related to the injury and prior treatment to support continuity of care
Provide patients, adjusters, and nurse case managers with pre-registration instructions and clinic directions
Coordinate and schedule workers’ compensation appointments within provider schedules, ensuring patient flow is efficient and aligned with individual care needs
Maintain oversight of WC appointment to match the patient's status and treatment requirements
Ensure all necessary medical documentation is collected and uploaded to the patient’s chart prior to appointments
Prepare and organize the patient file to support provider evaluation and treatment planning
Submit prior authorization requests for provider-ordered services, including ancillary services (e.g., MRI, CT, Physical Therapy, PRP injections, joint medications, referrals), surgical procedures, and office visits
Include supporting medical documentation and work status reports with all submissions
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 (imaging centers, PT clinics, other specialists)
Communicate follow-up instructions to patients and ensure necessary records (e.g., imaging reports, PT progress notes, consult notes) are received and documented
Act as a liaison between patients, providers, adjusters, nurse case managers, and attorneys to ensure cohesive communication and follow-through
Maintain clear and ongoing communication with all parties involved, keeping them informed of case status
Accurately document all communications, authorizations, and case-related updates in the EHR
Manage calendars and tasks to ensure timelines and treatment plans are followed
Ensure strict confidentiality and proper handling of sensitive case information and records
Understand multiple clinic workflows and how each department interacts with the workers’ comp process
Assist with communications, administrative tasks, and cross-departmental coordination as needed
Perform other related duties as assigned and assist in other departments as deemed necessary by management
Maintain high levels of integrity and discretion when dealing with professionals inside and outside the company
Participate in training and educational opportunities to stay current with job knowledge and industry best practices
Qualification
Required
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
Educated on and compliant with HIPAA regulations; maintains strict patient confidentiality
Demonstrates professionalism in all duties, interactions, and communications
Strong customer service orientation with the ability to communicate effectively across roles and settings
Dependable, adaptable, and able to work collaboratively in a team environment
High school diploma, GED, or equivalent required
Additional degrees, certifications, or training may be considered toward qualifications
Must have computer skills and dexterity required for data entry and retrieval of patient information
Proficiency with Windows-based applications and medical software systems
Excellent verbal and written communication skills
Strong organizational, calendaring, and administrative skills
High attention to detail with accurate recordkeeping and documentation
Excellent time management with the ability to multitask and meet deadlines
Proficient in Microsoft Excel and other office software tools
Strong problem-solving and critical thinking abilities
Effective at prioritizing tasks in a fast-paced, deadline-driven environment
Solid writing, proofreading, and information preparation skills
Preferred
Experience with medical authorizations and/or care coordination
Workers' compensation experience
Previous experience with medical software and scheduling platforms
Company
AVALA
Avala is a healthcare center that provides pain management, neurosurgery, orthopedic, robotics, reconstructive surgery and imaging services.
Founded in 2000
201-500 employees
Funding
Current Stage
Growth StageRecent News
New Orleans CityBusiness
2025-11-05
2023-06-29
Company data provided by crunchbase