
5001 - 10000 employees
Founded 2008
🏥 Healthcare
đź’Ľ 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.
🔥 18 minutes ago
🍂 Massachusetts – Remote
đź’µ $17 / hour
⏰ Full Time
🟡 Mid-level
đźź Senior
đź‘» Ghost score 0%
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5001 - 10000 employees
Founded 2008
🏥 Healthcare
đź’Ľ 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.
• Coordinate and prepare medical claims, records, referrals, and supporting documentation for review and processing • Retrieve and organize claim-related materials from multiple sources • Ensure required documents are complete, accurate, and compiled into comprehensive case files • Respond to client and client representative inquiries regarding questions, report status, concerns, and information requests • Enter and retrieve client or claimant information using appropriate systems and databases • Maintain daily contact with QA regarding workflow and pending report status • Contact providers for assignment and update the database • File and archive open and closed cases • Verify client information and document client-specific guidelines and rules in the system • Work independently and with team members to address questions and return cases promptly • Direct calls to other departments as needed • Perform clerical duties including typing, filing, emailing, and proofreading • Assist with customer complaints and quality assurance issues • Notify management of report issues or concerns • Ensure practices comply with state and federal safety and legal regulations • Perform other duties as assigned • MES Solutions provides independent medical examination and peer review services for insurers, self-insureds, and third-party administrators
• 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 • Complete knowledge of general computer, fax, copier, scanner, and telephone • Knowledge of Microsoft Word, Outlook, Excel, and the Internet • Ability to be trained on and adhere to HIPAA regulations and compliance standards • Qualified typist with a minimum of 40 W.P.M. • Ability to follow instructions and management directions accurately • Accuracy, thoroughness, responsibility for quality of work, and initiative to identify improvements • Exceptional communication skills • Ability to work independently, prioritize work activities, and use time efficiently • Ability to maintain confidentiality • Ability to demonstrate and promote a positive team-oriented environment • Ability to stay focused and concentrate under normal or heavy distractions • Ability to work well under pressure and stressful conditions • Ability to manage change, delays, or unexpected events appropriately • Ability to follow all company policies and procedures
• Competitive benefits • Paid time off • 401k
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