Case Coordinator - Dallas, TX

ExamWorks; Dallas (TX); On-site; USD 45,000 - 68,000; Full time

Job summary

ExamWorks is seeking a Case Coordinator to ensure medical reports meet high standards of accuracy, integrity and regulatory compliance. You will perform quality assurance reviews, support evidence-based rationales, verify client instructions and ensure proper citations.

This role supports the Quality Assurance Department, coordinates with peer reviewers, and helps resolve customer complaints while maintaining confidentiality in a fast-paced environment.

Qualifications

• Strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values.
• Excellent typing speed and accuracy.
• Proficient in MS Word/Outlook/Excel; internet research skills.
• Excellent written and spoken English; grammar and style.
• Ability to follow complex instructions and maintain confidentiality.
• Demonstrates reliability, attention to detail and quality focus.
• Ability to work independently and manage changing priorities.

Responsibilities

• Performs quality assurance review of reports, correspondences, addendums or supplemental reviews.
• Ensures evidence-based rationales accompany recommendations and determinations.
• Verifies client instructions are followed and questions addressed with citations.
• Ensures content, format and appearance meet standards and client specs.
• Confirms appropriate board specialty review and accurate documentation.
• Verifies peer reviewer attestation and absence of conflicts of interest.
• Assists in resolving customer complaints and QA issues; supports management.
• Ensures ERISA and state mandates are complied with at all times.

Skills

Medical terminology

Anatomy & physiology

Medications & labs values

Strong English usage

Typing 40 WPM

Attention to detail

Confidentiality

Independent work

Education

High school diploma or equivalent

Tools

Microsoft Word

Outlook

Excel

Internet

Job description

Are you a detail‑driven professional with a passion for quality and compliance?Join us as a Case Coordinator, where you will play a critical role in ensuring medical reports meet the highest standards of accuracy, integrity, and regulatory compliance. The Case Coordinator is responsible for ensuring 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 quality assurance questions and provide overall support to the Quality Assurance Department.Location: 12001 N Central Expressway, Suite 800, Dallas, TX 75243Hours: 8:30 am - 5:00 pm CSTESSENTIAL DUTIES AND RESPONSIBILITIESPerforms quality assurance review of reports, correspondences, addendums or supplemental reviews.Ensures clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations.Ensures that all client instructions and specifications have been followed and that all questions have been addressed.Ensures each review is supported by clinical citations and references when applicable and verifies that all references cited are current and obtained from reputable medical journals and/or publications.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.Verifies that the peer reviewer has attested to only the fact(s) and that no evidence of reviewer conflict of interest exists.Ensures the provider credentials and signature are adhered to the final report.Identifies any inconsistencies within the report and contacts the Peer Reviewer to obtain clarification, modification or correction as needed.Assists in resolution of customer complaints and quality assurance issues as needed.Ensures all federal ERISA and/or state mandates are adhered to at all times.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.EDUCATION AND/OR EXPERIENCEHigh school diploma or equivalent required.Minimum of two (2) years of clinical or related field experience, or an equivalent combination of education and experience.Knowledge of the insurance industry preferred, particularly claims management related to:Workers’ compensationNo‑faultLiabilityDisabilityCERTIFICATES, LICENSES, AND REGISTRATIONSNo specific requirements.ESSENTIAL COMPETENCIES & QUALIFICATIONSMust 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.MMust 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.Must possess the ability to manage change, delays, or unexpected events appropriately.Demonstrates reliability and abides by the company attendance policy.Must maintain a professional and clean appearance at all times consistent with company standards.PHYSICAL DEMANDSThis is generally a sedentary job position that consists of:Sitting 8 hours per dayWalking and standing for brief periodsOccasionally climbing one or more flight of stairsOccasionally lifting and/or carrying up to 10 lbs.Occasionally pushing/pulling up to 10 lbs.Occasionally subject to bending, squatting or twisting.WORK ENVIRONMENTExtended hours are occasionally required beyond the regular eight (8) hour work day.The noise level in the work environment is usually moderate.NOTE:This job description is intended to provide a general overview of the responsibilities and requirements for the Case Coordinator position. Specific duties and responsibilities may vary based on the clinic's needs and may be subject to change at the discretion of the employer.ExamWorks offers our vendors a vast network of providers who perform Compensation and Pension (C&P) exams, Separation Health Assessments (SHAs), and Reserve Health Readiness Program (RHRP) evaluations for our Nation's Veterans. Our offices are outfitted with state-of-the-art equipment and highly skilled medical professionals. We pride ourselves on delivering quality services in a timely manner.Examworks 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