Overview
ExamWorks Compliance Solutions is seeking a detail-oriented individual to join the team as a Medicare File Coordinator.
The Medicare File Coordinator is responsible to ensure information is entered correctly and to the highest quality and integrity and is in full compliance with client contractual agreement, regulatory agency standards and/or federal and state mandates. This position is required to assist customer service team and provide overall support to the Customer Service Department
This is a remote full time position with a standard work schedule Monday-Friday, 8am-5pm (must be able to work Eastern time zone).
Responsibilities
Performs quality assurance reviews of information, correspondences and files
Ensures all cases contain the correct information for the examination process
Audits files to ensure that all client instructions and specifications have been followed
Completes and ensures all examination fees are quoted daily and are in accordance with company practices
Ensures that the appropriate board specialty has received the case in compliance with client specifications and/or state mandates and is documented accurately
Assists with data entry of billing information
When necessary, notifies management of any case issue or concerns requiring management’s attention
Ensures all practices are carried out in accordance with HIPAA compliance practices, state and federal safety standards and legal regulations
Calls for invoices from physicians
Assists with mail as needed
Assists with the scanning of documents
Qualifications
High school diploma or equivalent required
A minimum of two years clinical or related field experience; or equivalent combination of education and experience required
Medicare knowledge or experience a PLUS
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 maintain confidentiality
Must be able to demonstrate and promote a positive team -oriented environment
