Clerical Quality Assurance Coordinator – Case Prepper

🔥 1 minute ago

🌲 Oregon – Remote

🌲 Oregon – Remote

💵 $20 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔧 QA Engineer (Quality Assurance)

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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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

• Receive client submissions and input client and examinee data in the system • Verify that cases contain information needed for clinical review • Maintain daily contact with the Clinical QA Department regarding workflow and pending reports • Track documentation of processes, communications, report status, and due dates • Maintain a daily follow-up and clarification tracker • Receive completed reports and review completeness, accuracy, formatting, grammar, and sentence structure • Complete or ensure daily invoicing in accordance with company practices and client contracts • Respond to physicians’ or clients’ requests for report status or information • Coordinate with transcriptionists and physicians’ offices regarding report details, clarification, and addendums • Ensure medical records and reports are properly documented and saved • Notify management of report issues or concerns • Follow HIPAA compliance practices, state and federal safety standards, and legal regulations • Promote effective and efficient use of clinical resources and supplies • 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 • Comprehensive understanding of PDF, XLSX, TIFF, JPG, and DOCX file types • Qualified typist with a minimum of 40 W.P.M. • Proficiency with MS Office (Outlook, Word, Excel) and Google Chrome • High proficiency with Windows or Mac OS • Excellent English usage, grammar, punctuation, and style • Ability to accurately follow instructions and respond to upper management • Accuracy, thoroughness, and quality monitoring • Exceptional communication skills • Ability to work independently, prioritize work, and use time efficiently • Ability to maintain confidentiality • Ability to promote a positive team-oriented environment • Ability to stay focused under normal or heavy distractions

🏖️ Benefits

• Medical insurance • Vision insurance • Dental insurance • Paid time off • 401(k) • Fast-paced team atmosphere • Equal Opportunity Employer - Minorities/Females/Disabled/Veterans