LogoFresh Jobs Ahead
ExamWorks
ExamWorks
5.001 – 10.000 Angajați
Asistență medicalăConsultanțăJuridic

ExamWorks activează la intersecția dintre domeniul medical, consultanță și servicii juridice, oferind examinări medicale independente și evaluări realizate de specialiști de același nivel pentru dosare de despăgubire și procese conexe. Activitatea sa include, de asemenea, verificarea facturilor, conformitatea cu cerințele Medicare, gestionarea dosarelor medicale și a documentelor, precum și audituri de conformitate.

Compania sprijină o rețea extinsă de medici și dezvoltă platforme pentru organizații și instrumente de gestionare a fluxurilor de lucru pentru organizații din domeniul medical. Echipele sale combină expertiza clinică, operațională, de conformitate și tehnologică pentru a ajuta clienții să gestioneze dosarele medicale și cererile de despăgubire cu mai multă consecvență și fiabilitate.

LinkedIn
Locurile de muncă ale companiei

Clinical Quality Assurance Coordinator - Wisconsin Remote

Review peer-review reports for clinical accuracy, regulatory compliance, and documentation quality in this remote ExamWorks role based in Wisconsin.

USStatele Unite ale AmericiiWIWisconsin
30 $ / oră
RemoteNormă întreagăJuniorNivel mediuLimbă Obligatorie: englezăInginer QA

Descriere

  • Review peer-review reports, correspondence, addenda, and supplemental reviews for quality
  • Ensure recommendations and determinations are supported by clear, concise, evidence-based rationales
  • Confirm that client instructions, specifications, questions, clinical citations, and references are fully addressed
  • Check reports against company standards for content, formatting, presentation, and regulatory compliance
  • Verify that reviews are completed by the appropriate board-certified specialty and documented accurately
  • Validate peer reviewer attestations, conflict-of-interest status, credentials, and signatures
  • Identify report discrepancies and contact peer reviewers to request clarification, revisions, or corrections
  • Support the resolution of customer complaints and other quality assurance matters
  • Maintain compliance with federal ERISA requirements and applicable state mandates
  • Provide management with observations about consultant quality, availability, and compliance
  • Support the efficient use of company resources
  • Take part in educational programs and training activities
  • Complete additional duties as assigned

Cerințe

  • An active RN or LPN nursing license is required
  • Graduate from an accredited nursing program or equivalent related medical experience
  • Bachelor's degree preferred
  • At least two years of clinical or related experience, or an equivalent combination of education and experience
  • Strong understanding of medical terminology, anatomy and physiology, medications, and laboratory values
  • Ability to complete arithmetic calculations using whole numbers and decimals and calculate rates and percentages
  • Typing speed of at least 40 words per minute
  • Ability to use computers, fax machines, copiers, scanners, and telephones
  • Working knowledge of Microsoft Word, Outlook, Excel, and the Internet
  • Excellent command of English usage, grammar, punctuation, and style
  • Ability to follow instructions and accurately act on management direction
  • Consistent accuracy and attention to detail
  • Exceptional written and verbal communication skills
  • Ability to work independently, prioritize tasks, and manage time effectively
  • Ability to protect confidential information

Beneficii

  • Fully remote work arrangement
  • Medical, vision, and dental coverage
  • Paid time off
  • 401(k) plan
  • Fast-paced team environment

Locuri de muncă similare

Kreato Global | BPO and Language Solutions

Remote English-Spanish OPI/VRI Interpreter

Kreato Global | BPO and Language Solutions
201 – 500 Angajați
Asistență medicalăLogisticăOspitalitate
ARArgentinaBOBoliviaBRBraziliaCLChileCOColumbiaCRCosta RicaCUCubaDORepublica DominicanăECEcuadorGTGuatemalaHNHondurasHTHaitiMXMexicNINicaraguaPAPanamaPEPeruPRPuerto RicoPYParaguaySVEl SalvadorUYUruguayVEVenezuelaRemoteNormă întreagăJuniorNu este necesară o diplomăLimbă Obligatorie: englezăLimbă Obligatorie: spaniolăTraducător

Interpret remotely between English- and Spanish-speaking people in medical, financial, social service, and customer care settings. Provide language support for Kreato Global across Latin America.

Deschide