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Case Coordinator

Advanced Medical Reviews

United States

Remote

USD 40,000 - 53,000

Full time

2 days ago
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Job summary

A leading medical review company is hiring a Case Coordinator for a fully remote role. The successful candidate will ensure report quality and adherence to client specifications while demonstrating strong communication and medical knowledge. This position involves performing quality assurance, providing insights to management, and engaging in training activities within a dynamic team environment. Competitive benefits and a supportive team culture are part of this opportunity.

Benefits

Competitive benefits (medical, vision, dental)
Paid time off
401k plan

Qualifications

  • High school diploma required; clinical experience preferred.
  • Knowledge of medical terminology, anatomy, and physiology essential.
  • Strong typing skills (minimum 40 W.P.M) and computer proficiency required.

Responsibilities

  • Perform quality assurance reviews of submissions and reports.
  • Ensure compliance with client specifications and company standards.
  • Provide direction on consultant quality and resource utilization.

Skills

Attention to detail
Verbal communication
Time management
Medical terminology knowledge
Problem solving

Education

High school diploma or equivalent
Two years clinical or related field experience

Tools

Microsoft Word
Microsoft Excel
Microsoft Outlook

Job description

Join to apply for the Case Coordinator role at Advanced Medical Reviews

Join to apply for the Case Coordinator role at Advanced Medical Reviews

Description

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

Description

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 fully remote Case Coordinator role. The schedule for this role is Tuesday to Saturday 8:00am-4:30pm PST

The Case Coordinator is responsible to ensure reports are of the highest quality and integrity and in full compliance with client contractual agreement, regulatory agency standards and/or federal and state mandates. This position is required to assist with all aspects of case processing and provide overall support to all departments, reviewers and clients.

Responsibilities

  • Performs quality assurance review of submissions and completed reports.
  • Ensures that all client instructions and specifications have been followed and that all questions have been addressed.
  • Ensures the content, format, and professional appearance of the reports are of the highest quality and in compliance with company standards.
  • Ensure that the appropriate board specialty has reviewed the case in compliance with client specifications and/or state mandates and is documented accurately on the case report.
  • Provides insight and direction to management on consultant quality, availability and compliance with all company policies and procedures and client specifications.
  • Promotes effective and efficient utilization of company resources.
  • Participates in various educational and or training activities as required.
  • Performs other duties as assigned

Qualifications

EDUCATION AND/OR EXPERIENCE

  • High school diploma or equivalent required.
  • A minimum of two years clinical or related field experience, or equivalent combination of education and experience.
  • Knowledge of the insurance industry preferably claims management relative to one of more of the following categories: workers compensation, no-fault, liability, and/or disability.

Qualifications

  • Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values.
  • Must be able to add, subtract, multiply, and divide in all units of measure, using whole numbers and decimals; Ability to compute rates and percentages.
  • Must be a qualified typist with a minimum of 40 W.P.M
  • Must be able to operate a general computer, fax, copier, scanner, and telephone.
  • Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.
  • Must possess excellent skills in English usage, grammar, punctuation and style.
  • Ability to accurately follow instructions and respond to directions from upper management.
  • Demonstrates accuracy and thoroughness. Looks for ways to improve and promote quality and monitors own work to ensure quality is met.
  • Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed.
  • Must be able to work independently, prioritize work activities and use time efficiently.
  • Must be able to maintain confidentiality.
  • Must be able to demonstrate and promote a positive team-oriented environment.
  • Must be able to stay focused and concentrate under normal or heavy distractions.
  • Must be able to work well under pressure and or stressful conditions.

Founded in 2004, AMR is setting the industry standard in providing quality independent medical case review and utilization management services that are timely, customizable and affordable. AMR offers a single source solution for all of our clients' review and utilization management needs covering all specialties and subspecialties nationwide. Our highly trained compliance staff and specialized case review nurses are bolstered by a strong quality assurance process guaranteeing the highest quality standards throughout the review process. Our commitment is to our clients and their patients. We emphasize - throughout all the work that we do - continuous quality improvement, innovation and client satisfaction.

AMR offers a fast-paced team atmosphere with competitive benefits (medical, vision, dental), paid time off, and 401k.

Advanced Medical Reviews is an Equal Opportunity Employer and affords equal opportunity to all qualified applicants for all positions without regard to protected veteran status, qualified individuals with disabilities and all individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age or any other status protected under local, state or federal laws.

Equal Opportunity Employer - Minorities/Females/Disabled/Veterans

Seniority level
  • Seniority level
    Entry level
Employment type
  • Employment type
    Full-time
Job function
  • Job function
    Other
  • Industries
    Insurance

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