Medical Compliance Coordinator

Overview

This role involves taking ownership of medical treatment coordination and compliance across a high-volume plaintiff personal injury caseload. You will serve as the connection between clients, medical providers, case managers, and attorneys—monitoring treatment, identifying missed appointments and gaps in care, tracking outstanding referrals, and helping resolve barriers before they negatively affect a client’s recovery or case.

Responsibilities

• Treatment Compliance: Monitor clients’ medical treatment and identify missed appointments, gaps in treatment, incomplete referrals, and other issues that could interfere with recovery or negatively impact a case.
• Missed Appointment Follow-Up: Proactively contact clients who miss appointments, determine why the appointment was missed, assist with rescheduling, and continue follow-up until the issue is resolved.
• Medical Appointment Coordination: Assist clients with scheduling and rescheduling appointments with physical therapy, orthopedics, pain management, neurology, diagnostic imaging, surgical specialists, and other medical providers.
• Referral Tracking: Track outstanding MRIs, diagnostic testing, specialist consultations, therapy referrals, surgical consultations, and other treatment recommendations to ensure completion.
• Transportation Coordination: Identify when transportation is preventing a client from attending treatment and coordinate appropriate transportation resources.
• Barrier Resolution: Identify and help resolve issues preventing clients from treating, including scheduling difficulties, transportation problems, language barriers, provider communication issues, insurance or authorization issues, and other obstacles.
• Client Communication: Maintain regular communication regarding treatment status, upcoming appointments, missed visits, outstanding referrals, and next steps.
• Treatment Monitoring: Follow up after significant medical appointments to confirm attendance and identify new diagnoses, testing, referrals, procedures, or treatment recommendations requiring additional follow-up.
• Closed-Loop Follow-Up: Maintain ownership of unresolved treatment issues until completed, resolved, or appropriately escalated. Ensure each open issue has a next action and follow-up date.
• Case Management Documentation: Maintain accurate, timely records of appointments, missed visits, client communications, referrals, transportation issues, treatment status, and compliance concerns in the firm’s case-management system.
• Compliance Reporting: Identify and track clients who have not treated within established timeframes and proactively address potential gaps before they become significant.
• Attorney and Case Manager Escalation: Promptly alert the appropriate attorney or case manager when a client repeatedly misses treatment, becomes unreachable, refuses recommended care, develops a significant treatment gap, or has another issue requiring higher-level intervention.
• Case Protection: Work proactively to prevent avoidable treatment issues from reducing the value of a client’s case.

Requirements

• Strong organizational skills with the ability to manage a high volume of clients, appointments, referrals, and follow-up tasks simultaneously.
• Exceptional follow-through and attention to detail.
• Strong verbal and written communication skills.
• Ability to communicate professionally and compassionately with injured clients who may be dealing with pain, stress, transportation difficulties, work obligations, or other challenges.
• Ability to identify problems and take action rather than simply documenting them.
• Comfortable making frequent outbound calls and following up repeatedly when necessary.
• Ability to maintain accurate, detailed notes in a case-management system.
• Ability to prioritize urgent treatment and compliance issues in a fast-paced environment.
• Strong sense of ownership and personal accountability.
• Ability to collaborate with attorneys, case managers, medical providers, and other members of the legal team.
• Ability to handle confidential medical and client information with professionalism and discretion.

Preferred Qualifications

• Prior experience with a plaintiff personal injury law firm.
• Experience with medical coordination, medical scheduling, healthcare administration, patient coordination, or a similar role.
• Familiarity with personal injury cases and the importance of continuity of medical treatment.
• Experience working with physical therapy, orthopedic, pain management, neurological, radiology, surgical, or other medical offices.
• Experience working in a high-volume legal or medical environment.
• Experience with personal injury case-management software.
• Bilingual English/Spanish.
• Comfort working with dashboards, reports, task queues, and other systems used to identify clients requiring follow-up.
• Experience developing or improving processes for tracking appointments, referrals, missed visits, or treatment compliance.

Compensation & Benefits

• Base Salary: $64,900 to $81,900, commensurate with experience.
• Benefits: Medical, dental, and vision insurance; 401(k) with company match; HSA; life insurance; disability coverage; paid time off; parental leave.

Location

• Fully remote team.