IME Coordinator
IME Coordinator
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Job Description
About Our Company
Were a physician-led patient-centric network committed to simplifying health care and bringing a more connected kind of care.
Our primary multispecialty and urgent care providers serve millions of patients in traditional practices patients homes and virtually through VillageMD and our operating companies Village Medical Village Medical at Home Summit Health CityMD and Starling Physicians.
When you join our team you become part of a compassionate community of people who work hard every day to make health care better for are innovating value-based care and leveraging integrated applications population insights and staffing expertise to ensure all patients have access to high-quality connected care services that provide better outcomes at a reduced total cost of care.
Please Note: We will only contact candidates regarding your applications from one of the following domains: @ @ @ @ @ @ or @.
Job Description
Essential Job functions:
Providing case care coordination for all Workers Compensation and permanency evaluations.
Follow-up on Independent Medical Exams (IME) and Permanency Evaluation (PERM) and Workers Compensation services which includes contacting payer (health plan workers compensation insurance legal office and employer) for payment for services in a timely manner. Uses all resources available for follow through on payment of claims. Includes telephone internet faxing certified mailings etc.
Collect payments from patients and enter charges when at the registration desk. Book and charge patients for missed appointments and court appearances. Post all PERM/IME and legal charges and payments to clients accounts in the practice management system.
Complete account review and distribution of payments from unallocated accounts.
Schedules trial deposition and attorney meetings. Advises physicians of dates prepares charts updates in Misys Outlook for providers.
Schedule patient appointments and faxes confirmations with directions to law firm and Workers Compensation adjuster. Confirm patient appointments.
Maintain wait list PERM and IME.
Faxes PERM/IME report to attorney when finished by provider.
Receives logs makes charts and schedules incoming requests for independent medical exams and permanency evaluations in a timely fashion.
Processes requests for medical records and subpoena services. Forwards request to HIMS and/or legal department. Documents receipt of x-rays received for legal evaluations and mails back to facilities.
Assists PCR with non MVA/WC pre-authorizations as needed.
Mails out bills with reports to insurance company or law firm.
Submits claims and documentation to responsible parties for processing and payment.
Has knowledge of New York Workers Compensation and is proficient in using the Workers Compensation NY portal.
Completes request for refunds and forwards to Business Office.
Meets with special account team at Business Office once a month to review any documentation. Issues and shares any feedback with physicians.
Works with detail claims reports for IMEs/PERMs.
Register PERM at time of visit and ensures history form is completed.
Employs appropriate use of tasking follows up on authorizations and communicates any issues to the physician.
Communicates to the Office Supervisor/Manager appropriately and promptly.
Verbalizes and demonstrates understanding of emergency medical procedures.
Ensures proper preparation for patient visit. Prepares pertinent information needed for patient visit.
Ensures authorization has been obtained for each patient visit.
Ensures the Workers Comp Intake form has been completed accurately completely and has been scanned into Athena
Maintains efficient patient flow.
Communicates & provides care consistent with age cultural spiritual and developmental needs of the patient.
Answers the telephone in an appropriate manner. Directs calls and/or takes accurate messages.
Schedules appointments accurately and appropriately according to departmental guidelines.
Reconciles encounters daily and accurately according to policy guidelines. Reaches out to the provider to ensure Workers Compensation encounters are closed and sent to the adjuster within 24 hours.
Effectively communicates problems concerns or issues to the Supervisor and/or Manager appropriately and promptly.
Facilitates transition of care to UCC/Hospital.
Provides referrals and/or consult orders appropriately and in a timely manner in the PMS and EHR.
Employs appropriate and timely use of Tasking in EHR.
General Job functions:
Acts as Primary Point of Contact between Physician Office and Workers Compensation and IME/PREM payers. Develops relations to assist on prompt payment and resolution.
Identifies those payers who do not routinely pay claims in timely manner for Physician review for possible termination of relationships. Makes recommendations based on analysis of claims.
Completed delete and rekey of charges and payments as necessary (account corrections).
Completes review of Physician Hospital Charge Report. Audits report for accuracy of charge submission. Works to resolve any missing late or other charge inquiries directly with the Coding & Billing Department.
Covers for PSRs in his/her absence.
Other job duties as required.
Demonstrates flexibility with various work schedules.
Other duties as required.
Education Certification Computer and Training Requirements:
High School Graduate /GED recipient or diploma from vocational or technical school. Bachelors/ Associate Degree preferred.
2-4 years experience required. 5-8 years experience preferred.
BLS certification.
Excellent customer service skills.
Ability to be a team player.
Ability to deal with difficult personalities.
Ability to organize and perform multiple tasks in a timely manner.
Basic proficiency in computer use.
Knowledge of medical office and terminology preferred.
Experience with patient care equipment preferred.
Valid drivers license required.
Ability to communicate in English both orally and in writing.
Working knowledge of Microsoft Office applications including Word Excel and Access; Internet and Email applications preferred.
Working knowledge of Workers Compensation and Motor Vehicle State laws required.
Experience with EHR Practice Management System and Departmental/Ancillary Systems preferred.
Travel Ability to commute to satellite offices as needed.
The provided compensation range is based on industry standards and salary determinations will be made based on numerous factors including but not limited to years of experience and location of position.
About Our Commitment
Total Rewards at VillageMD
Our team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families. Participation in VillageMDs benefit platform includes Medical Dental Life Disability Vision FSA coverages and a 401k savings plan.
Equal Opportunity Employer
Our Companyprovides equal employment opportunities (EEO) to all employees and applicants for employment without regard to and does not discriminate on the basis of race color religion creed gender/sex sexual orientation gender identity and expression (including transgender status) national origin ancestry citizenship status age disability genetic information marital status pregnancy military status veteran status or any other characteristic protected by applicable federal state and local laws.
Safety Disclaimer
OurCompanycares about the safety of our employees and Companydoes not use chat rooms for job searches or Companywill never request personal information via informal chat platforms or unsecure Companywill never ask for money or an exchange of money banking or other personal information prior to the in-person interview. Be aware of potential scams while job seeking. Interviews are conducted at selectOur Companylocations during regular business hours only. For information on job scams visit file a complaint at Experience:
IC
Employment Type
Full-Time
Key Skills
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