QA Coordinator-1
The QA Coordinator-1 is responsible for providing quality customer service on a timely basis and interacting with clients to ensure IME provider letters are processed accurately and timely. Responsible for communication and documentation between a wide customer base to include but not limited to, Insurance Carriers, Provider Offices and Attorney Offices.
Duties and responsibilities
⢠Delivers quality Customer Service from initial notification of service until completion of end product
⢠Adheres to client protocols and jurisdictional regulations including appropriate documentation and notification of same
⢠Ensures all provider letters have been created and processed accurately
⢠Works with the Medical Records Specialist to ensure all applicable and necessary medical documentation is included for the provider review
⢠Creates, reviews and revises provider letters as necessary
⢠Prepares and sends provider letters daily
⢠Contacts appropriate agencies or persons for the purpose of verifying information
⢠Ability to efficiently and accurately manage high volume of emails in a timely manner
⢠Communicates immediately with Supervisor with regard to any client or notification concerns
⢠Operates company software and equipment
⢠Enters data by inputting alphabetic and numeric information into system via keyboard
⢠Demonstrates strong organizational skills with the ability to multi-task without compromising extreme attention to detail
⢠Communicates using correct English, spelling, grammar, and punctuation
⢠Ability to understand and follow oral and written instructions while adhering to prescribed departmental routines
⢠Proficiency with imaging/scanning documents
⢠Maintains confidentiality and discretion as a general rule
⢠Works effectively as a team contributor on all assignments
⢠Interacts professionally with other employees as well as clients
⢠Has a clear and concise understanding, and adheres to, guidelines as they relate to HIPAA, Conflict of Interest, and Ethics
⢠Understands current URAC standards as appropriate to job functions
Qualifications
⢠HS Diploma or equivalent
⢠Proficient with MS Office Suite
⢠Excellent communication skills-verbal and written
⢠Ability to organize and prioritize work effectively
⢠Ability to accept and apply constructive feedback
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Duties and responsibilities
⢠Delivers quality Customer Service from initial notification of service until completion of end product
⢠Adheres to client protocols and jurisdictional regulations including appropriate documentation and notification of same
⢠Ensures all provider letters have been created and processed accurately
⢠Works with the Medical Records Specialist to ensure all applicable and necessary medical documentation is included for the provider review
⢠Creates, reviews and revises provider letters as necessary
⢠Prepares and sends provider letters daily
⢠Contacts appropriate agencies or persons for the purpose of verifying information
⢠Ability to efficiently and accurately manage high volume of emails in a timely manner
⢠Communicates immediately with Supervisor with regard to any client or notification concerns
⢠Operates company software and equipment
⢠Enters data by inputting alphabetic and numeric information into system via keyboard
⢠Demonstrates strong organizational skills with the ability to multi-task without compromising extreme attention to detail
⢠Communicates using correct English, spelling, grammar, and punctuation
⢠Ability to understand and follow oral and written instructions while adhering to prescribed departmental routines
⢠Proficiency with imaging/scanning documents
⢠Maintains confidentiality and discretion as a general rule
⢠Works effectively as a team contributor on all assignments
⢠Interacts professionally with other employees as well as clients
⢠Has a clear and concise understanding, and adheres to, guidelines as they relate to HIPAA, Conflict of Interest, and Ethics
⢠Understands current URAC standards as appropriate to job functions
Qualifications
⢠HS Diploma or equivalent
⢠Proficient with MS Office Suite
⢠Excellent communication skills-verbal and written
⢠Ability to organize and prioritize work effectively
⢠Ability to accept and apply constructive feedback
Apply Now
Apply Now