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Clerical Quality Assurance Coordinator (32662)

Role overview

Qualifications

  • Experience in quality assurance or clerical roles
  • Strong attention to detail
  • Ability to communicate effectively
  • Familiarity with HIPAA compliance practices

Responsibilities

  • Receive client submissions and input client and examinee data in the system
  • Verify all cases contain information needed for the clinical review process
  • Maintain daily contact with the Clinical QA Department regarding workflow and status of pending reports
  • Track documentation of all processes, communications, report status and due dates

Key facts

Other skills

  • Quality Assurance
  • Communication
  • Detail Oriented
  • Time Management

About the company

Advanced Medical Reviews logo

Advanced Medical Reviews

Hospitals & Health Care

Advanced Medical Reviews (AMR), one of the country's top medical peer review organizations, delivers services to a diverse group of healthcare and legal organizations, including: health plans, managed care groups, workers'​ compensation and disability clients, TPA, IPA, Medical Groups, MSO, PPO, HMO, Medicaid and Medicare teams, hospitals and government entities. Our dedicated medical management team and staff provide a variety of review services: independent medical case review, workers'​ compensation, medical evaluation, utilization review, and audits. Utilizing innovative healthcare technologies, AMR delivers a single source solution for our clients'​ managed healthcare administration needs. Our quality improvement and compliance staff assists our clients to increase their operational efficiency through specialized reports, data mining, and technology integration. Our commitment is to provide Advanced Medical Reviews’ clients with a fully integrated, compliant, and cost-effective service emphasizing continuous quality improvement, innovation, and client satisfaction.

Company details

IndustryHospitals & Health Care
Company size51 - 200

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Job description

Advanced Medical Reviews (AMR) is looking for a Remote Clerical Quality Assurance Coordinator.

The Clerical Quality Assurance Coordinator is responsible for receiving, coordinating and returning completed reports to clients. This position works closely with the clinical quality assurance team and ensures work is processed and completed of the highest quality and in compliance with all policy and procedures.

This position is 100% remote with one of the following schedules. Monday - Friday;  9:00am - 6:00pm PST. Pay $18.00 per hour.

 

  • Receive client submissions and input client and examinee data in the system.
  • Verify all cases contain information needed for the clinical review process.
  • Maintain daily contact with the Clinical QA Department regarding workflow and status of pending reports.
  • Track documentation of all processes, communications, report status and due dates.
  •  Maintain a daily log of files that require follow up, clarification or concerns in the tracker.
  • Receive completed reports and review for completeness and accuracy, including proper formatting, grammar and sentence structure.
  • Complete and or ensures all invoicing is billed daily and in accordance with company practices and client contract agreements.
  • Handle and respond promptly to incoming communication from physicians or clients requesting report status or information.
  • Work with transcriptionists and/or physicians’ offices regarding report details, clarification, addendums, etc.
  • Ensure all medical records and reports are properly documented and saved in the appropriate location.
  • Notify management of any report issues or concerns.
  • Ensure all practices are carried out in accordance with HIPAA compliance practices, state and federal safety standards and legal regulations
  • Promote effective and efficient utilization of clinical resources and supplies.
  • Perform other duties as assigned.

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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