Case Coordinator

AllMed Medical Management; Portland (OR); Remote; USD 40,000 - 70,000; Full time

Job summary

An established industry player is seeking a detail-oriented Case Coordinator for their remote office in Portland, OR. This pivotal role involves coordinating and ensuring the quality of reports, working closely with the clinical quality assurance team. Ideal candidates will possess strong editing and proofreading skills, alongside a solid understanding of medical terminology and clinical processes. The company values high-quality, patient-centered care, offering competitive benefits and a supportive work environment. If you thrive in a dynamic setting and are passionate about healthcare, this opportunity is perfect for you.

Benefits

Competitive Benefits

Paid Time Off

401k Plans

Qualifications

• Minimum two years of clinical or related experience required.
• Strong knowledge of medical terminology and anatomy is essential.

Responsibilities

• Perform quality assurance reviews of reports and correspondences.
• Ensure compliance with client specifications and state mandates.
• Provide insights on quality and compliance to management.

Skills

Medical Terminology

Editing and Proofreading

Communication Skills

Microsoft Word

Excel

Basic Math Skills

Confidentiality

Time Management

Education

High School Diploma

Clinical Experience

Tools

Microsoft Outlook

Internet Proficiency

Job description

Case Coordinator

Job Locations: US-OR-Portland

Requisition ID: 2025-11436

# of Openings: 1

Category: Operations

Overview

Are you detail-oriented with editing and proofreading experience? Do you possess strong verbal communication skills? If so, consider our Case Coordinator position for our Portland, OR (REMOTE) office.

This role involves receiving, coordinating, and returning completed reports to clients. You will work closely with the clinical quality assurance team to ensure high-quality, compliant work, including proofreading and editing reports.

Responsibilities

Essential Duties and Responsibilities include, but are not limited to:

• Perform quality assurance reviews of reports, correspondences, addendums, or supplemental reviews.
• Ensure clear, evidence-based rationales support all recommendations and determinations.
• Follow all client instructions and address all questions.
• Support reviews with current, reputable medical citations and references.
• Maintain the highest standards for content, format, and professional appearance of reports.
• Verify case reviews comply with client specifications, state mandates, and are accurately documented.
• Ensure peer reviewer attestations are factual and free of conflicts of interest.
• Adhere to provider credentials and signatures on final reports.
• Identify and resolve inconsistencies within reports.
• Assist with customer complaints and quality assurance issues.
• Comply with federal ERISA and state mandates.
• Provide insights on quality, availability, and compliance to management.
• Participate in training and educational activities.

Qualifications

Education and Experience: High school diploma or equivalent; minimum two years of clinical or related experience, or equivalent education and experience. Knowledge of insurance claims management, especially in workers' compensation, no-fault, liability, or disability.

Skills and Qualifications:

• Strong knowledge of medical terminology, anatomy, physiology, medications, and lab values.
• Proficient in basic math and rate/percentage calculations.
• Qualified typist with at least 40 W.P.M.
• Proficient with computers and software like Microsoft Word, Outlook, Excel, and Internet.
• Excellent English language skills, including grammar, punctuation, and style.
• Effective communication, independent work ability, and confidentiality.
• Ability to prioritize, focus, and work under pressure.
• Professional appearance and reliability.

AllMed provides clinical decision-making and utilization management solutions, working closely with healthcare organizations to deliver high-quality, patient-centered care. We are an Equal Opportunity Employer offering competitive benefits, paid time off, and 401k plans.