California Workers' Compensation Referrals Coordinator - Orthopedics Practice

About the Role

We're seeking an experienced Workers' Compensation Referrals Coordinator to manage the full referral and authorization lifecycle for a California orthopedic practice. This is a specialized role - California workers' comp referrals move differently than standard medical referrals, with strict requirements around RFAs, authorization timelines, and coordination between carriers, adjusters, and providers.

You'll own each case from the moment a referral comes in through scheduling once authorization is secured, making sure nothing stalls, gets lost, or falls through the cracks along the way.

Core Responsibilities

Prepare, submit, and track RFAs (Requests for Authorization)

Manage workers' comp referrals from start to finish

Follow up on pending authorizations and referral requests

Coordinate patient scheduling once authorization is received

Upload referral requests and supporting documentation

Update case information and notes in ModMed

Enter charges related to referral requests

Communicate with insurance carriers, adjusters, third-party administrators, patients, and providers

Keep cases organized and moving, ensuring nothing falls through the cracks

Requirements

Required Qualifications

California Workers' Compensation experience - required

Prior experience as a Workers' Comp Referrals Coordinator

Experience preparing, submitting, and following up on RFAs

Strong understanding of the California workers' compensation referral and authorization process

Experience coordinating with insurance companies, adjusters, third-party administrators, patients, and providers

Preferred Qualifications

ModMed experience

Bilingual (English/Spanish)

Experience working within a California-based medical practice

Benefits

Why This Role

You'll play a central role in making sure injured workers get timely access to orthopedic care - cutting through the complexity of the California WC authorization process so patients aren't left waiting longer than necessary.