Quality Assurance Coordinator

ExamWorks is looking for a Remote Medical Administrative Coordinator to join our team!

The Administrative Coordinator is responsible for servicing and directing inquiries from clients, physicians, nurses or any representative acting on behalf of a client, scheduling and coordinating appointments with clients, physicians and examinees, performing data entry, as well as processing of medical and insurance documentation and records.  All duties are handled with a high degree of quality customer service and in compliance with all regulatory, company and quality standards.

The schedule for this role is Monday to Friday 8am-5pm EST.

Responsibilities:

• Direct and respond to inbound calls and inquiries from clients and/or anyone acting on behalf of the client regarding questions, service status or concerns, medical billing, or other requests for information.
• Schedule examinations through the system database.
• Schedule and confirm appointment dates and times with physicians’ offices, clients and examinees.
• Communicate with clients regarding appointment scheduling, physician CV’s, appointment changes, no shows, cancellations, and receipt of medical records and/or images.
• Prepare and send exam notification letters and records to all parties involved.
• Send reminders on appointments and follow up on reports.
• Review and process medical documents, ensuring they are accurately mapped and categorized within the system to the appropriate insurance carrier and claim.
• Ensure that all required documents are captured and linked to the appropriate records and case.
• Provide excellent customer service by addressing issues promptly and professionally. Adhere to deadlines.
• Utilize appropriate systems and databases to accurately enter both alphabetic and numeric data from source documents into the system, such as medical billing.
• Ensure data entered matches the original source documents. Review for accuracy and correct any data entry errors or duplications.
• If applicable, ensure CPT, HCPCS, and ICD-10 codes are entered correctly as part of the billing process.
• Perform regular quality checks of work products around scheduling, document handling and data capture, ensuring compliance with regulatory requirements and internal procedures.
• Identify discrepancies and resolve any issues to maintain accuracy.
• Work independently and in partnership with other team members to ensure that questions are addressed, documented and cases are handled in a timely fashion.
• Perform various clerical duties such as typing, filing, emailing, and proofreading.
• Assist in resolution of customer complaints and quality assurance issues.
• Notify management of any report issues or concerns.
• Protect examinee rights by maintaining confidentiality of personal and financial information at all times and in accordance with HIPAA regulations.
• Perform other duties as assigned.

Education and/or Experience  

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

Qualifications

• Strong knowledge of medical billing and coding procedures
• Must be able to perform accurate data entry with a speed of at least 800 keystrokes per minute and 8,000 keystrokes per minute for 10-key
• 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.
• Must demonstrate accuracy, thoroughness, and responsibility for quality of work, and ability to take initiative to identify improvements. Looks for ways to improve and promote quality and monitors own work to ensure quality is met.
• Must demonstrate exceptional communication skills.
• Must be able to work independently, prioritize work activities and use time efficiently.
• Must be able to maintain confidentiality.
• Ability to follow all company policies and procedures in effect at time of hire and as they may change or be added from time to time.

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. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local 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.