Clerical Quality Assurance Coordinator

Posted on Oct 4, 2024 by AllMed
Portland, OR
Research
Immediate Start
Annual Salary
Full-Time
Overview:

AllMed is seeking a detailed oriented and extremely organized professional for our Clerical Quality Assurance Coordinator role.

The Clerical Quality Assurance Coordinator is responsible for receiving, coordinating and returning completed reports to clients. This position works closely with the clinical quality assurance team and ensures work is processed and completed of the highest quality and in compliance with all policy and procedures.

Remote/Hybrid position (optional to go into the office in Portland. Preferred schedule would be Saturday-Wednesday, 8am to 5pm PST. 

Want to join an employee-first company with great benefits and growth opportunities? If you think this aligns with what you desire in your next career move, apply at this very moment!

Responsibilities:

ESSENTIAL DUTIES AND RESPONSIBILITIES TO PERFORM THIS JOB SUCCESSFULLY INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING:

Receives client submissions and inputs client and examinee data in the system tracker or database.

Verifies all cases contain information needed for the clinical review process.

Maintains daily contact with the Clinical QA Coordinator regarding workflow and status of pending reports.

Tracks documentation of all processes, communications, report status and due dates via system tracker or database.

Maintains a daily log of files that require follow up, clarification or concerns in the tracker.

Receives completed reports and reviews for completeness and accuracy, including proper formatting, grammar and sentence structure.

Completes and or ensures all invoicing is billed daily and in accordance with company practices and client contract

Handles and responds promptly to incoming calls, emails or faxes from physicians or clients requesting report status and/or information.

When necessary, works 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.

When necessary, notifies management of any report issues or concerns requiring managements’ attention

Ensures all practices are carried out in accordance with HIPPA compliance practices, state and federal safety standards and legal regulations.

Promotes effective and efficient utilization of clinical resources and supplies.

Perform other duties as assigned.

Qualifications:

EDUCATION AND/OR EXPERIENCE  

High school diploma or equivalent required. Minimum one year clerical experience; or equivalent combination of education and experience. Experience in a medical office or insurance industry preferred

QUALIFICATIONS 

Must possess complete knowledge of 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 have a full understanding of HIPAA regulations and compliance.

Must be a qualified typist with a minimum of 40 W.P.M.

Ability to follow instructions and respond to managements’ directions accurately.

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.

AllMed provides clinical decision making and utilization management solutions to leading payer and provider organizations. We work closely with your team toward a shared vision of healthcare that delivers the highest quality, values patient experience, and ensures both appropriate care and utilization of health-related services.

Our solutions are developed and delivered by experts—they are thoughtfully designed to integrate seamlessly into your organization and help you deliver the right care to the right patients at the right time.

AllMed 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.

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

Equal Opportunity Employer - Minorities/Females/Disabled/Veterans

Reference: 203275763

https://jobs.careeraddict.com/post/95803570

Clerical Quality Assurance Coordinator

Posted on Oct 4, 2024 by AllMed

Portland, OR
Research
Immediate Start
Annual Salary
Full-Time
Overview:

AllMed is seeking a detailed oriented and extremely organized professional for our Clerical Quality Assurance Coordinator role.

The Clerical Quality Assurance Coordinator is responsible for receiving, coordinating and returning completed reports to clients. This position works closely with the clinical quality assurance team and ensures work is processed and completed of the highest quality and in compliance with all policy and procedures.

Remote/Hybrid position (optional to go into the office in Portland. Preferred schedule would be Saturday-Wednesday, 8am to 5pm PST. 

Want to join an employee-first company with great benefits and growth opportunities? If you think this aligns with what you desire in your next career move, apply at this very moment!

Responsibilities:

ESSENTIAL DUTIES AND RESPONSIBILITIES TO PERFORM THIS JOB SUCCESSFULLY INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING:

Receives client submissions and inputs client and examinee data in the system tracker or database.

Verifies all cases contain information needed for the clinical review process.

Maintains daily contact with the Clinical QA Coordinator regarding workflow and status of pending reports.

Tracks documentation of all processes, communications, report status and due dates via system tracker or database.

Maintains a daily log of files that require follow up, clarification or concerns in the tracker.

Receives completed reports and reviews for completeness and accuracy, including proper formatting, grammar and sentence structure.

Completes and or ensures all invoicing is billed daily and in accordance with company practices and client contract

Handles and responds promptly to incoming calls, emails or faxes from physicians or clients requesting report status and/or information.

When necessary, works 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.

When necessary, notifies management of any report issues or concerns requiring managements’ attention

Ensures all practices are carried out in accordance with HIPPA compliance practices, state and federal safety standards and legal regulations.

Promotes effective and efficient utilization of clinical resources and supplies.

Perform other duties as assigned.

Qualifications:

EDUCATION AND/OR EXPERIENCE  

High school diploma or equivalent required. Minimum one year clerical experience; or equivalent combination of education and experience. Experience in a medical office or insurance industry preferred

QUALIFICATIONS 

Must possess complete knowledge of 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 have a full understanding of HIPAA regulations and compliance.

Must be a qualified typist with a minimum of 40 W.P.M.

Ability to follow instructions and respond to managements’ directions accurately.

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.

AllMed provides clinical decision making and utilization management solutions to leading payer and provider organizations. We work closely with your team toward a shared vision of healthcare that delivers the highest quality, values patient experience, and ensures both appropriate care and utilization of health-related services.

Our solutions are developed and delivered by experts—they are thoughtfully designed to integrate seamlessly into your organization and help you deliver the right care to the right patients at the right time.

AllMed 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.

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

Equal Opportunity Employer - Minorities/Females/Disabled/Veterans

Reference: 203275763

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