Why Sturdy Memorial Hospital
FY2024 · Form 990Its mission and biggest programs, as filedOffers safe, quality, affordable healthcare and a wide range of medical services to the community.
- Sturdy Memorial Hospital, INC. Is a not-for-profit acute care community Hospital which is dedicated to providing a broad range of health care services to the residents of attleboro, massachusetts and surrounding communities. The Hospital generates virtually all of its revenues…$258.2M spent in FY2024
Before you apply
FY2023 · Form 990Independent: from IRS data, not the orgAbout the role
The org's own posting, as writtenScheduled Weekly Hours: 40 - The Worker's Compensation & Motor Vehicle Accident (WC/MVA) Coordinator is responsible for coordinating and managing workers' compensation and motor vehicle accident claims throughout a patient's course of treatment. This role serves as a liaison between patients, providers, insurance carriers, attorneys, nurse case managers, and internal departments to ensure appropriate authorization, coordination of care, and reimbursement for services.
A key responsibility of this position is negotiating reimbursement rates and securing authorization approvals with Workers' Compensation carriers for initial provider consultations, surgical procedures, and other medically necessary services. The Coordinator works to obtain reimbursement rates above state-mandated fee schedules when appropriate, helping to maximize revenue while ensuring patients receive timely access to care. The Coordinator facilitates claim setup, authorization management, reimbursement negotiations, scheduling, and documentation processing while supporting efficient patient care, regulatory compliance, and financial stewardship for the organization.
Education/Training · High School diploma or equivalent Licenses/Certification: N/A Required Qualifications and Skills: · Minimum of 1-2 years of medical billing, medical office, or healthcare administrative experience. · Experience working with Workers' Compensation and/or Motor Vehicle Accident claims. · Knowledge of Personal Injury Protection (PIP) exhaustion requirements and coordination of benefits. · Understanding of CPT, ICD-10, and HCPCS coding. · Ability to review and interpret medical documentation. · Strong organizational and time management skills. · Excellent verbal and written communication skills. · Ability to prioritize multiple tasks in a fast-paced environment. · Strong analytical, problem-solving, and customer service skills. · Proficiency with electronic medical records and healthcare software applications.
Preferred Qualifications and Skills: · Previous experience negotiating reimbursement rates, surgical authorizations, and initial consultation fees with Workers' Compensation insurance carriers and adjusters. · Demonstrated knowledge of Workers' Compensation fee schedules, DIA reimbursement guidelines, and payer contract negotiations. · Ability to effectively advocate for appropriate reimbursement while maintaining positive working relationships with insurance carriers and case managers. · Experience in orthopedic or specialty medical practice. · Familiarity with medical terminology, anatomy, and physiology. · Experience obtaining prior authorizations and insurance verification.
Essential Job Functions: · Establish and maintain Workers' Compensation (WC) and Motor Vehicle Accident (MVA) cases within the electronic medical record system. · Obtain and verify claim information with insurance carriers, adjusters, attorneys, and nurse case managers. · Negotiate reimbursement rates with Workers'…
About Sturdy Memorial Hospital
From its Form 990- Budget $296.2M · Health Care
- Staff 1,917 · founded 1913
- Pays its leaders $401K–$1.4M (12 reported)
- Open jobs 204 · Jobs at Sturdy Memorial Hospital · Full 990 report