Overview
You’ve got problem-solving instincts, a passion for helping people, and attention to detail that delivers results. You’re also looking for great benefits, the support of an all-star team, and an opportunity to grow your career.
Then this might be the job for you because ExamWorks is looking for a Quality Assurance Coordinator to join our team. You will be responsible for reading medical reports ensuring accuracy by searching for any errors in grammar, medical terminology, and content before sending to our clients.
This position is 100% remote. Candidate must be available to work Monday through Friday 10:30am-7:00pm CT. (While training, hours will be Monday-Friday, 8am-4:30pm CT.)
If you think this aligns with what you desire in your next career move, apply at this very moment!
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.
- Ensures all federal ERISA and/or state mandates are adhered to at all times.
- Provides insight and direction to management on consultant quality, availability and compliance with all company policies and procedures and client specifications.
- Promote effective and efficient utilization of company resources.
- Participate in various educational and or training activities as required.
- Perform other duties as assigned.
Qualifications
College graduates, those looking to gain experience, and those who are seeking a career change are all welcome here!
- High school diploma or equivalent required
- 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
- 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