Medical Report Proofreaders come from all different backgrounds including legal assistants, paralegals, medical scribes, transcriptionists, and more!
This position is 100% remote. Candidate must be available to work 8:30a-5:00p or 9:00a-5:30p EST. Office equipment (office phone, screen, keyboard, mouse and virtual desktop) will be provided. In order to work remote you must have access to your own ISP with a router (both the phone and virtual desktop must be plugged in) and a dedicated “office space” where you can set up your work station with desk and chair.
Responsibilities
- Performs quality assurance review of IME reports, correspondences, addendums or supplemental reviews.
- Ensures clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations.
- Ensures that all client instructions and specifications have been followed and that all questions have been addressed.
- Ensures each review is supported by clinical citations and references when applicable and verifies that all references cited are current and obtained from reputable medical journals and/or publications.
- Ensures the content, format, and professional appearance of the reports are of the highest quality and in compliance with company standards.
- Ensure that the appropriate board specialty has reviewed the case in compliance with client specifications and/or state mandates and is documented accurately on the case report.
- Verifies that the peer reviewer has attested to only the fact(s) and that no evidence of reviewer conflict of interest exists.
- Ensures the provider credentials and signature are adhered to the final report.
- Identifies any inconsistencies within the report and contacts the Provider to obtain clarification, modification or correction as needed.
- Assists in resolution of customer complaints and quality assurance issues as needed.
Qualifications
- High school diploma or equivalent required.
- Two years IME experience preferred.
- Knowledge of the insurance industry preferably claims management relative to one or more of the following categories: workers’ compensation, no-fault, liability, and/or disability preferred.
- Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values.
- Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.
- Must possess excellent skills in English usage, grammar, punctuation and style.
- 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.
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 offers a fast-paced team atmosphere with competitive benefits, paid time off, and 401k.