
5001 - 10000 employees
Founded 2008
⚕️ Healthcare Insurance
đź“‹ Compliance
đź’¸ 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.
🔥 0 minutes ago
🌲 Oregon – Remote
đź’µ $20 - $22 / hour
⏰ Full Time
🟢 Junior
🟡 Mid-level
đź’Š Pharmacist
🚫👨‍🎓 No degree required
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5001 - 10000 employees
Founded 2008
⚕️ Healthcare Insurance
đź“‹ Compliance
đź’¸ 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.
• Performs quality assurance review of reports, correspondences, addendums or supplemental reviews. • Ensures clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations. • Ensures that all client instructions and specifications have been followed and that all questions have been addressed. • Ensures each review is supported by clinical citations and references when applicable and verifies that all references cited are current and obtained from reputable medical journals and/or publications. • Ensures the content, format, and professional appearance of the reports are of the highest quality and in compliance with company standards. • Ensure that the appropriate board specialty has reviewed the case in compliance with client specifications and/or state mandates and is documented accurately on the case report. • Verifies that the peer reviewer has attested to only the fact(s) and that no evidence of reviewer conflict of interest exists. • Ensures the provider credentials and signature are adhered to the final report. • Identifies any inconsistencies within the report and contacts the Peer Reviewer to obtain clarification, modification or correction as needed. • Assists in resolution of customer complaints and quality assurance issues as needed. • Ensures all federal ERISA and/or state mandates are adhered to at all times. • Provides insight and direction to management on consultant quality, availability and compliance with all company policies and procedures and client specifications. • Promotes effective and efficient utilization of company resources. • Participates in various educational and or training activities as required. • Performs other duties as assigned.
• A minimum of two years of working as a pharmacy tech or clinical/related field experience equivalent combination of education and experience. • High school diploma or equivalent required. • Active Pharmacy Tech License/ Certificate • Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values. • Must be able to add, subtract, multiply, and divide in all units of measure, using whole numbers and decimals; Ability to compute rates and percentages. • Must be a qualified typist with a minimum of 40 W.P.M • Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet. • Must possess excellent skills in English usage, grammar, punctuation and style. • Ability to accurately follow instructions and respond to directions from upper management. • Demonstrates accuracy and thoroughness. • Looks for ways to improve and promote quality and monitors own work to ensure quality is met. • Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed. • 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.
• Health insurance • 401(k) • Paid time off
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