Case Coordinator

AllMed; Portland (OR); Remote; USD 45,000 - 70,000; Full time

Job summary

An established industry player is seeking a detail-oriented Case Coordinator for their remote Portland office. This role involves proofreading and editing reports while ensuring compliance with policies. You will collaborate with the clinical quality assurance team, maintaining high standards for content and format. The ideal candidate will have strong verbal communication skills, a solid understanding of medical terminology, and the ability to work independently. Join a fast-paced environment that values diversity and offers competitive benefits, where your contributions directly impact patient care and service utilization.

Benefits

Paid Time Off

401(k) Plans

Competitive Benefits

Qualifications

• High school diploma required; 2+ years in clinical or related field.
• Strong knowledge of medical terminology and anatomy.

Responsibilities

• Perform quality assurance reviews and ensure compliance with standards.
• Support reviews with clinical citations and maintain report quality.

Skills

Verbal Communication

Attention to Detail

Medical Terminology

Basic Math Skills

Typing Speed (40 W.P.M.)

Confidentiality

Time Management

Education

High School Diploma

2+ Years Clinical Experience

Tools

Microsoft Word

Microsoft Outlook

Microsoft Excel

Internet

Job description

Overview

Have a sharp eye and keen attention to detail? Do you have editing and/or proof-reading experience? Are you someone who has strong verbal communication skills?

Then consider our Case Coordinator position for our Portland, OR office (REMOTE).

We are looking to onboard a Case Coordinator who will be 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 with the highest quality and in compliance with all policies and procedures. You will be proofreading and editing reports.

Responsibilities

ESSENTIAL DUTIES AND RESPONSIBILITIES TO PERFORM THIS JOB SUCCESSFULLY INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING:

• Perform quality assurance reviews of reports, correspondences, addendums, or supplemental reviews.
• Ensure clear, concise, evidence-based rationales support all recommendations and/or determinations.
• Follow all client instructions and specifications, and address all questions.
• Support each review with current clinical citations from reputable medical journals or publications.
• Maintain the highest standards for content, format, and professional appearance of reports, ensuring compliance with company standards.
• Verify that the appropriate board specialty has reviewed the case in accordance with client specifications or state mandates, and document this accurately.
• Ensure peer reviewers attest only to facts and that no conflicts of interest exist.
• Ensure provider credentials and signatures are included in the final report.
• Identify inconsistencies within reports and contact peer reviewers for clarification, modification, or correction.
• Assist in resolving customer complaints and quality assurance issues as needed.
• Adhere to all federal ERISA and state mandates at all times.
• Provide insights and guidance to management regarding consultant quality, availability, and compliance with policies and client specifications.
• Participate in educational and training activities as required.

Qualifications

EDUCATION AND/OR EXPERIENCE

High school diploma or equivalent required. A minimum of two years of clinical or related field experience, or an equivalent combination of education and experience. Knowledge of the insurance industry, especially claims management in categories such as workers' compensation, no-fault, liability, and/or disability.

QUALIFICATIONS

• Strong knowledge of medical terminology, anatomy, physiology, medications, and laboratory values.
• Proficiency in basic math skills, including rates and percentages.
• Qualified typist with a minimum of 40 W.P.M.
• Ability to operate general office equipment and software, including Microsoft Word, Outlook, Excel, and the Internet.
• Excellent command of English language, grammar, punctuation, and style.
• Ability to follow instructions accurately and respond to management's directions.
• Demonstrate accuracy, thoroughness, and a commitment to quality.
• Exceptional communication skills: conveying information clearly, listening effectively, and asking clarifying questions.
• Ability to work independently, prioritize tasks, and use time efficiently.
• Maintain confidentiality and a professional appearance.
• Ability to work well under pressure and adapt to change.
• Reliability and adherence to attendance policies.

AllMed provides clinical decision-making and utilization management solutions to leading payer and provider organizations, aiming to deliver high-quality healthcare that values patient experience and appropriate utilization of services.

Our solutions are developed by experts and designed to integrate seamlessly into your organization, helping deliver the right care at the right time.

AllMed is an Equal Opportunity Employer, committed to diversity and inclusion in the workplace, and offers a fast-paced team environment with competitive benefits, paid time off, and 401(k) plans.

Equal Opportunity Employer - Minorities/Females/Disabled/Veterans