Clerical Quality Assurance Coordinator

Overview

ExamWorks is looking for a Clerical Quality Assurance Coordinator to join our team!

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 is a full-time Monday-Friday 8-5pm schedule.

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.

ExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers' compensation insurance coverages.

ExamWorks, LLC 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

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