Demo

QA Coordinator - Clerical

Emperion
Boca Raton, FL Full Time
POSTED ON 2/4/2025
AVAILABLE BEFORE 4/3/2025

The QA Coordinator is responsible for providing quality customer service on a timely basis and interacting with clients to ensure IME provider letters are processed accurately and timely.  Responsible for communication and documentation between a wide customer base to include but not limited to, Insurance Carriers, Provider Offices and Attorney Offices.

 

Outcome/Results

The successful incumbent ensures that all QAC requirements are met in a timely and accurate manner ensuring that quantitative results are met without sacrificing qualitative results.

 

Key Responsibilities

  • Delivers quality Customer Service from initial notification of service until completion of end product
  • Adheres to client protocols and jurisdictional regulations including appropriate documentation and notification of same
  • Ensures all provider letters have been created and processed accurately
  • Works with the Medical Records Specialist to ensure all applicable and necessary medical documentation is included for the provider review
  • Creates, reviews and revises provider letters as necessary
  • Prepares and sends provider letters daily
  • Contacts appropriate agencies or persons for the purpose of verifying information
  • Ability to efficiently and accurately manage high volume of emails in a timely manner
  • Communicates immediately with Supervisor with regard to any client or notification concerns
  • Operates company software and equipment
  • Enters data by inputting alphabetic and numeric information into system via keyboard
  • Demonstrates strong organizational skills with the ability to multi-task without compromising extreme attention to detail
  • Communicates using correct English, spelling, grammar, and punctuation
  • Ability to understand and follow oral and written instructions while adhering to prescribed departmental routines
  • Proficiency with imaging/scanning documents
  • Maintains confidentiality and discretion as a general rule
  • Works effectively as a team contributor on all assignments
  • Interacts professionally with other employees as well as clients
  • Has a clear and concise understanding, and adheres to, guidelines as they relate to HIPAA, Conflict of Interest, and Ethics
  • Understands current URAC standards as appropriate to job functions

 

Key Competencies/Skills/Abilities

  • HS Diploma or equivalent
  • Proficient with MS Office Suite
  • Excellent communication skills-verbal and written
  • Ability to organize and prioritize work effectively
  • Ability to accept and apply constructive feedback

Background & Experience

HS Diploma or equivalent

Proficiency with MS Office Suite and Excel

 

Physical Requirements

  • Ability to remain in a stationary position for long periods of time 
  • Ability to speak and hear 
  • Manual dexterity sufficient to operate a computer keyboard and calculator
  • The employee may be required to walk
  • The ability to see details at close range (within a few feet of the observer)

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