What are the responsibilities and job description for the Quality Assurance Representative position at Excelsia AMM?
About Us
Excelsia Injury Care provides management services to a network of healthcare companies, supporting them in delivering comprehensive rehabilitation, diagnostic, surgical, and pain management services for individuals affected by post-traumatic neuro-musculoskeletal injuries. With 95 locations across Idaho, Illinois, Maryland, Missouri, Nevada, New Jersey, Pennsylvania, Utah, and Virginia, we ensure accessible, high-quality care tailored to each patient’s unique needs. Our providers are leaders in personal injury and workers’ compensation care, with a proven track record of helping patients recover and reach their maximum recovery potential.
Our mission is to restore quality of life through patient-centric care, supporting those injured in motor vehicle or work-related accidents. We take an interdisciplinary approach, ensuring patients receive coordinated care from evaluation through treatment, with the goal of achieving optimal recovery outcomes.
Founded on the values of respect and trustworthiness, we are committed to delivering services that adhere to the highest legal, regulatory, and ethical standards. As responsible corporate citizens, we integrate environmental, social, and governance (ESG) considerations into our business practices, ensuring that we positively impact the healthcare companies we serve, our employees, and the communities we reach.
Job Duties
- Proofread dictated reports for accuracy
- Maintain the assigned folders of reports
- Review all the reports for accuracy to ensure the demographic information matches the one in the patient’s account in PM system
- Review the charges to make sure the report supports the charges billed
- Communicate with office staff to correct any discrepancies
- Handle report requests sent by the billing staff and treating offices
- Place the copies of each report into the treating offices folder for further reference
- Place the finalized copy of each report to the folder to be transferred to the document storage systems
- Other duties as assigned
Team Lead Duties
- Handles provider concerns with dictation
- Listen to audio recordings when clarification is needed for completeness
- Handle daily reporting and disburses to the team and leadership
- Maintain and the assigned folders of reports
- Ensure QA staff meets the daily/weekly goal
- Handle MRI reports requests. Edits and proofreads reports for accuracy and ensure the report supports the charges billed
- Handle Pain Management report requests. Edits and proofreads reporting for accuracy and ensure the report supports the charges billed
- Places copies of completed reports onto the folders for further reference
Minimum Requirements
- High School diploma or GED equivalent
- Working knowledge of medical terminology and billing guidelines
Additional Skills/Competencies
- Excellent verbal and written communication skills
- Knowledge of computer applications, including Windows, Outlook, and Microsoft Office
- Problem solving and organizational skills
- Typing – 50 WPM
- Knowledge of insurance plans, workers’ compensation, and personal injury
- Ability to effectively interact with providers, attorneys, patients, and co-workers
Physical/Mental Requirements
Sitting, standing, walking, reaching above shoulder length, working with body bent over at waist, working in kneeling position, climbing stairs, climbing ladders, working with arms extended at shoulder length, lifting maximum of 20 lbs.
