Case Coordinator

🔥 1 minute ago

🏄 California – Remote

🏄 California – Remote

💵 $19 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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ExamWorks

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 2008

🏥 Healthcare

💼 Consulting

⚖️ Legal

Healthcare • Consulting • Legal

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.

📋 Description

• Perform quality assurance reviews of reports, correspondence, addendums, and supplemental reviews • Ensure clear, concise, evidence-based rationales support recommendations and determinations • Verify client instructions, specifications, and questions are addressed • Confirm clinical citations and references are current and from reputable medical journals or publications • Ensure report content, format, and professional appearance meet company standards • Verify appropriate board specialty review and accurate documentation on case reports • Verify peer reviewer attestations and absence of conflicts of interest • Ensure provider credentials and signatures are included in final reports • Identify report inconsistencies and contact Peer Reviewers for clarification or correction • Assist with customer complaints and quality assurance issues • Ensure compliance with federal ERISA and state mandates • Provide management insight on consultant quality, availability, and compliance • Promote effective utilization of company resources • Participate in educational and training activities • Perform other assigned duties

🎯 Requirements

• High school diploma or equivalent required • A minimum of two years clinical or related field experience, or equivalent combination of education and experience • Knowledge of the insurance industry, preferably claims management relative to workers compensation, no-fault, liability, and/or disability • Strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values • Ability to perform arithmetic calculations with whole numbers and decimals and compute rates and percentages • Qualified typist with a minimum of 40 W.P.M. • Ability to operate a computer, fax, copier, scanner, and telephone • Knowledge of Microsoft Word, Outlook, Excel, and the Internet • Excellent English usage, grammar, punctuation, and style • Ability to accurately follow instructions and respond to upper management • Ability to work independently, prioritize work, and use time efficiently • Ability to maintain confidentiality • Ability to stay focused under normal or heavy distractions

🏖️ Benefits

• Medical insurance • Vision insurance • Dental insurance • Paid time off • 401k