
5001 - 10000 employees
Founded 2008
⚕️ Healthcare Insurance
📋 Compliance
💸 Finance
Healthcare Insurance • Compliance • Finance
ExamWorks is a leading provider of independent medical examinations and peer reviews, specializing in services such as bill reviews, Medicare compliance, and document management. With a robust portfolio that includes agile development and enterprise platform solutions, ExamWorks ensures efficient workflow enhancements and compliance auditing across healthcare sectors. The company supports a network of physicians and offers customized services for the management of medical records and claims, prioritizing reliability for clients in various communities.
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5001 - 10000 employees
Founded 2008
⚕️ Healthcare Insurance
📋 Compliance
💸 Finance
Healthcare Insurance • Compliance • Finance
ExamWorks is a leading provider of independent medical examinations and peer reviews, specializing in services such as bill reviews, Medicare compliance, and document management. With a robust portfolio that includes agile development and enterprise platform solutions, ExamWorks ensures efficient workflow enhancements and compliance auditing across healthcare sectors. The company supports a network of physicians and offers customized services for the management of medical records and claims, prioritizing reliability for clients in various communities.
• Handle and respond promptly to inquiries from clients and/or anyone acting on behalf of the client regarding questions, report status, concerns, or general requests for information. • Utilize appropriate systems and databases to enter client or claimant information and or retrieve information. • Maintain daily contact with the QA department regarding workflow and pending report status. • Contact providers for assignment and update database. • File and archive open and closed cases. • Verify all client information is current in the database and all client specific guidelines and or rules or information is documented in the system. • Work independently and in partnership with other team members to ensure that questions are addressed, documented and cases are returned in a timely fashion. • Direct calls to other departments as needed. • Perform various clerical duties such as typing, filing, emailing, and proofreading. • Assist in resolution of customer complaints and quality assurance issue. • Notify management of any report issues or concerns. • Ensure all practices are carried out in accordance with state and federal safety and legal regulations. • Perform other duties as assigned.
• High school diploma or equivalent required. • Minimum one-year clerical experience; or equivalent combination of education and experience preferred. • Experience in a medical office or insurance industry preferred. • Must possess complete knowledge of general computer, fax, copier, scanner, and telephone. • Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet. • Must have ability to be trained on and adhere to HIPAA regulations and compliance standards. • Must be a qualified typist with a minimum of 40 W.P.M. • Ability to follow instructions and respond to managements’ directions accurately. • Must demonstrate accuracy, thoroughness, and responsibility for quality of work, and ability to take initiative to identify improvements. • Looks for ways to improve and promote quality and monitors own work to ensure quality is met. • Must demonstrate exceptional communication skills. • Must be able to work independently, prioritize work activities and use time efficiently. • Must be able to maintain confidentiality. • Must be able to demonstrate and promote a positive team -oriented environment. • Must be able to stay focused and concentrate under normal or heavy distractions. • Must be able to work well under pressure and or stressful conditions. • Must possess the ability to manage change, delays, or unexpected events appropriately. • Ability to follow all company policies and procedures in effect at time of hire and as they may change or be added from time to time.
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