Clinical QA Case Prepper - Precision & Compliance

AllMed Medical Management; Portland (OR); On-site; USD 42,000 - 56,000; Full time

Job summary

AllMed Medical Management is seeking a detail oriented Clerical Quality Assurance Coordinator- Case Prepper to join our team in Portland, OR. You will receive client submissions, input data, and ensure completeness of reports for clinical review.

The role requires strong data entry, document management, and invoicing accuracy, with emphasis on HIPAA and regulatory compliance while you collaborate with the clinical QA team.

Qualifications

• 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 workers compensation, no-fault, liability, and/or disability.

Responsibilities

• Receive client submissions and input client and examinee data in the system.
• Verify all cases contain information needed for the clinical review process.
• Maintain daily contact with the Clinical QA Department regarding workflow and status of pending reports.
• Track documentation of all processes, communications, report status and due dates.
• Maintain a daily log of files that require follow up, clarification or concerns in the tracker.
• Receive completed reports and review for completeness and accuracy, including proper formatting, grammar and sentence structure.
• Complete and or ensures all invoicing is billed daily and in accordance with company practices and client contract agreements.
• Handle and respond promptly to incoming communication from physicians or clients requesting report status or information.
• Work with transcriptionists and/or physicians' offices regarding report details, clarification, addendums, etc.
• Ensure all medical records and reports are properly documented and saved in the appropriate location.
• Notify management of any report issues or concerns.
• Ensure all practices are carried out in accordance with HIPAA compliance practices, state and federal safety standards and legal regulations
• Promote effective and efficient utilization of clinical resources and supplies.
• Perform other duties as assigned.

Skills

Typing 40 WPM

MS Office proficiency

Attention to detail

HIPAA compliance

English communication

Education

High school diploma

2+ years clinical or related field experience

Tools

MS Office (Outlook, Word, Excel)

Google Chrome

PDF/XLSX/TIFF/JPG/DOCX filetypes

Job description

AllMed Medical Management is seeking a detail oriented Clerical Quality Assurance Coordinator- Case Prepper to join our team in Portland, OR. You will receive client submissions, input data, and ensure completeness of reports for clinical review.

The role requires strong data entry, document management, and invoicing accuracy, with emphasis on HIPAA and regulatory compliance while you collaborate with the clinical QA team.