Clerical Quality Assurance Coordinator – Case Prepper

This is a fully remote position, open to applicants in Oregon.

📋 Description

• Process client submissions and enter client and examinee data into the system.

• Confirm that cases possess all necessary information for clinical evaluation.

• Maintain regular communication with the Clinical QA Department regarding workflow and the status of pending reports.

• Monitor documentation related to processes, communications, report statuses, and due dates.

• Keep a daily follow-up tracker for files that need clarification or further attention.

• Review completed reports for thoroughness, accuracy, formatting, grammar, and sentence structure.

• Ensure daily invoicing is completed in line with company practices and client contract agreements.

• Address inquiries from physicians or clients regarding report status or information.

• Collaborate with transcriptionists and physicians’ offices concerning report specifics, clarifications, and addendums.

• Ensure that medical records and reports are accurately documented and stored.

• Inform management of any report-related issues or concerns.

• Adhere to HIPAA guidelines, state and federal safety standards, and legal regulations.

• Encourage effective and efficient use of clinical resources and supplies.

• Execute other duties as assigned.

⛳️ Requirements

• High school diploma or equivalent is mandatory.

• At least two years of experience in a clinical or related field, or a suitable combination of education and experience.

• Familiarity with the insurance industry, especially claims management related to workers' compensation, no-fault, liability, and/or disability.

• Strong understanding of medical terminology, anatomy, physiology, medications, and laboratory values.

• Proficient in basic mathematical operations including addition, subtraction, multiplication, and division using whole numbers and decimals.

• Capability to calculate rates and percentages.

• Comprehensive knowledge of PDF, XLSX, TIFF, JPG, and DOCX file types.

• Qualified typist with a minimum typing speed of 40 words per minute.

• Proficient in PC applications, particularly MS Office (Outlook, Word, Excel) and Google Chrome.

• High proficiency in Windows or Mac OS.

• Excellent command of English language skills, including grammar, punctuation, and style.

• Ability to accurately follow instructions and respond to directives from upper management.

• Proven accuracy and attention to detail.

• Outstanding communication skills.

• Capability to work independently, prioritize tasks, and manage time effectively.

• Commitment to maintaining confidentiality.

• Ability to foster and promote a positive team environment.

• Ability to remain focused and attentive amidst normal or significant distractions.

🏝️ Benefits

• Competitive benefits package.

• Medical insurance coverage.

• Vision insurance options.

• Dental insurance provisions.

• Paid time off benefits.

• 401(k) retirement plan.