Clerical Quality Assurance Coordinator
3 weeks ago
Advanced Medical Reviews is seeking a detail-oriented and organized professional for our Clerical Quality Assurance Coordinator role. This position is responsible for receiving, coordinating, and returning completed reports to clients. The Clerical Quality Assurance Coordinator works closely with the clinical quality assurance team to ensure work is processed and completed of the highest quality and in compliance with all policy and procedures.
Responsibilities
- Receives client submissions and inputs client and examinee data in the system tracker or database.
- Verifies all cases contain information needed for the clinical review process.
- Maintains daily contact with the Clinical QA Coordinator regarding workflow and status of pending reports.
- Tracks documentation of all processes, communications, report status, and due dates via system tracker or database.
- Receives completed reports and reviews for completeness and accuracy, including proper formatting, grammar, and sentence structure.
- Completes and ensures all invoicing is billed daily and in accordance with company practices and client contract.
- Handles and responds promptly to incoming calls, emails, or faxes from physicians or clients requesting report status and/or information.
- Ensures all medical records and reports are properly documented and saved in the appropriate location.
- Notifies management of any report issues 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.
Qualifications
- High school diploma or equivalent required.
- Minimum one year clerical experience; or equivalent combination of education and experience.
- Experience in a medical office or insurance industry preferred.
About Us
Founded in 2004, Advanced Medical Reviews is setting the industry standard in providing quality independent medical case review and utilization management services that are timely, customizable, and affordable. We offer a single source solution for all of our clients' review and utilization management needs covering all specialties and subspecialties nationwide. Our highly trained compliance staff and specialized case review nurses are bolstered by a strong quality assurance process guaranteeing the highest quality standards throughout the review process. Our commitment is to our clients and their patients. We emphasize continuous quality improvement, innovation, and client satisfaction. Advanced Medical Reviews is an Equal Opportunity Employer and affords equal opportunity to all qualified applicants for all positions without regard to protected veteran status, qualified individuals with disabilities, and all individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, or any other status protected under local, state, or federal laws.
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