Clerical Quality Assurance Coordinator

Overview

Advanced Medical Reviews (AMR) is looking for a Remote Clerical Quality Assurance Coordinator.

The Clerical Quality Assurance Coordinator is responsible for receiving, coordinating and returning completed reports to clients. This position works closely with the clinical quality assurance team and ensures work is processed and completed of the highest quality and in compliance with all policy and procedures.

This posiiton is 100% remote with one of the follwing schedules. Monday - Friday; Tuesday - Saturday; Wednesday- Sunday 9:00am - 6:00pm PST. Pay $17.00 per hour.

Responsibilities

ESSENTIAL DUTIES AND RESPONSIBILITIES TO PERFORM THIS JOB SUCCESSFULLY INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING:

• Receives client submissions and inputs client and examinee data in the system tracker or database.
• Verifies all cases contain information needed for the clinical review process.
• Maintains daily contact with the Clinical QA Coordinator regarding workflow and status of pending reports.
• Tracks documentation of all processes, communications, report status and due dates via system tracker or database.
• Maintains a daily log of files that require follow up, clarification or concerns in the tracker.
• Receives completed reports and reviews for completeness and accuracy, including proper formatting, grammar and sentence structure.
• Completes and or ensures all invoicing is billed daily and in accordance with company practices and client contract
• Handles and responds promptly to incoming calls, emails or faxes from physicians or clients requesting report status and/or information.
• When necessary, works with transcriptionists and/or physicians’ offices regarding report details, clarification, Addendums, etc.
• Ensure all medical records and reports are properly documented and saved in the appropriate location.
• When necessary, notifies management of any report issues or concerns requiring managements’ attention
• Ensures all practices are carried out in accordance with HIPPA compliance practices, state and federal safety standards and legal regulations.
• Promotes effective and efficient utilization of clinical resources and supplies.
• Perform other duties as assigned.

Qualifications

EDUCATION AND/OR EXPERIENCE  

High school diploma or equivalent required. Minimum one year clerical experience; or equivalent combination of education and experience. Experience in a medical office or insurance industry preferred

QUALIFICATIONS 

• 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 a full understanding of HIPAA regulations and compliance.
• Must be a qualified typist with a minimum of 40 W.P.M.
• Ability to follow instructions and respond to managements’ directions accurately.
• 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.
• 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.
• Demonstrates reliability and abides by the company attendance policy.
• Must maintain a professional and clean appearance at all times consistent with company standards.

Founded in 2004, AMR is setting the industry standard in providing quality independent medical case review and utilization management services that are timely, customizable and affordable. AMR offers a single source solution for all of our clients' review and utilization management needs covering all specialties and subspecialties nationwide. Our highly trained compliance staff and specialized case review nurses are bolstered by a strong quality assurance process guaranteeing the highest quality standards throughout the review process. Our commitment is to our clients and their patients. We emphasize - throughout all the work that we do - continuous quality improvement, innovation and client satisfaction.

AMR offers a fast-paced team atmosphere with competitive benefits (medical, vision, dental), paid time off, and 401k.

Advanced Medical Reviews is an Equal Opportunity Employer and affords equal opportunity to all qualified applicants for all positions without regard to protected veteran status, qualified individuals with disabilities and all individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age or any other status protected under local, state or federal laws.

Equal Opportunity Employer - Minorities/Females/Disabled/Veterans

Salary : $17