File Coordinator

Paycom - ATS; Lawrenceville (GA); Remote; USD 42,000 - 60,000; Full time

Benefits offered by this job

Medical insurance

Vision insurance

Dental insurance

Paid time off

401k

Job summary

ExamWorks Compliance Solutions is seeking a detail-oriented Medicare File Coordinator to ensure information is entered accurately and in compliance with HIPAA, state/federal mandates, and client agreements. This remote, full-time role supports the Customer Service Department and requires availability in the Eastern time zone.

Responsibilities include QA reviews, audits, correct information for examinations, billing data entry, and ensuring proper board specialty routing per client specs.

Qualifications

• Excellent communication skills are required.
• Must maintain confidentiality and demonstrate accuracy and thoroughness.
• Demonstrates and promotes a positive team-oriented environment.

Responsibilities

• Performs quality assurance reviews of information, correspondences and files.
• Ensures all cases contain the correct information for the examination process.
• Audits files to ensure client instructions and specifications have been followed.
• Completes and ensures all examination fees are quoted daily in accordance with company practices.
• Assists with data entry of billing information.
• Maintains HIPAA compliance and safety standards.

Skills

Excellent communication

Confidentiality

Team oriented

Attention to detail

Education

High school diploma or equivalent

Tools

Microsoft Word

Microsoft Outlook

Microsoft Excel

Internet

Job description

ExamWorks Compliance Solutions is seeking a detail-oriented individual to join the team as a Medicare File Coordinator.The Medicare File Coordinator is responsible to ensure information is entered correctly and to the highest quality and integrity and is in full compliance with client contractual agreement, regulatory agency standards and/or federal and state mandates. This position is required to assist customer service team and provide overall support to the Customer Service DepartmentThis is a *remote* full time position with a standard work schedule Monday-Friday, 8am-5pm (must be able to work Eastern time zone).RESPONSIBILITIES:Performs quality assurance reviews of information, correspondences and filesEnsures all cases contain the correct information for the examination processAudits files to ensure that all client instructions and specifications have been followedCompletes and ensures all examination fees are quoted daily and are in accordance with company practicesEnsures that the appropriate board specialty has received the case in compliance with client specifications and/or state mandates and is documented accuratelyAssists with data entry of billing informationWhen necessary, notifies management of any case issue or concerns requiring management’s attentionEnsures all practices are carried out in accordance with HIPAA compliance practices, state and federal safety standards and legal regulationsCalls for invoices from physiciansAssists with mail as neededAssists with the scanning of documentsQUALIFICATIONS:High school diploma or equivalent requiredA minimum of two years clinical or related field experience; or equivalent combination of education and experience requiredMedicare knowledge or experience a PLUSMust be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the InternetMust possess excellent skills in English usage, grammar, punctuation and styleDemonstrates accuracy and thoroughness. Looks for ways to improve and promote quality and monitors own work to ensure quality is metMust demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is neededMust be able to maintain confidentialityMust be able to demonstrate and promote a positive team -oriented environmentWho We Are:ECS was formed in 2014 from the acquisition and consolidation of two pillars within the Medicare Secondary Payer (MSP) compliance industry: Gould & Lamb, providers of MSP compliance and reporting services, and MedAllocators/Ability Services Network, a national provider of MSP compliance and case management. Launched as Examworks Clinical Solutions, the new company offered unprecedented, integrated services aimed at managing high dollar complex Medicare, medical, and pharmaceutical claims. In May 2020, the organization name was changed to ExamWorks Compliance Solutions. A single word change, but one that truly reflects the core of what is offered by ECS. Today, our mission remains focused on providing the most comprehensive, creative, and customizable compliance andreporting solutions for the marketplace.ECS 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/VeteransExamWorks Compliance Solutions offers a fast-paced team atmosphere with competitive benefits (medical, vision, dental), paid time off, and 401k.