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ExamWorks
ExamWorks
5 001 – 10 000 Xodimlar
HuquqKonsaltingSog‘liqni saqlash

ExamWorks sog‘liqni saqlash, konsalting va yuridik xizmatlar kesishgan sohada faoliyat yuritib, da’volar va ular bilan bog‘liq jarayonlar uchun mustaqil tibbiy ko‘riklar hamda ekspert baholashlarini taqdim etadi. Kompaniya faoliyati hisob-fakturalarni ko‘rib chiqish, Medicare talablariga muvofiqlikni ta’minlash, tibbiy yozuvlar va hujjatlarni boshqarish hamda muvofiqlik auditlarini ham qamrab oladi.

Kompaniya shifokorlarning keng tarmog‘ini qo‘llab-quvvatlaydi va sog‘liqni saqlash tashkilotlari uchun korporativ platformalar hamda ish jarayonlarini boshqarish vositalarini ishlab chiqadi. Uning jamoalari klinik, operatsion, muvofiqlik va texnologik tajribani birlashtirib, mijozlarga tibbiy yozuvlar va da’volarni yanada izchil hamda ishonchli boshqarishda yordam beradi.

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Kompaniyadagi ish o‘rinlari

Clinical Quality Assurance Coordinator — Massachusetts Remote

Review clinical peer-review documentation for MES, a provider of medical examination and peer-review services. Support evidence-based quality, regulatory compliance, and accurate reporting.

USAmerika Qo‘shma ShtatlariMAMassachusets
27 $ – 29 $ / soat
MasofaviyTo‘liq stavkaJuniorO‘rta darajaTalab Qilinadigan Til: inglizchaQA muhandisi

Tavsif

  • Conduct quality assurance reviews of peer-review reports, correspondence, addenda, and supplemental reviews.
  • Confirm that recommendations and determinations are supported by clear, concise, evidence-based rationales.
  • Check that client instructions, specifications, and questions have been fully addressed.
  • Validate that clinical citations are current and sourced from reputable medical publications.
  • Ensure reports meet company standards for content, formatting, and professional presentation.
  • Confirm the appropriate board specialty conducted the review and that documentation is accurate.
  • Verify peer-reviewer attestations and the absence of conflicts of interest.
  • Ensure final reports contain provider credentials and signatures.
  • Resolve report inconsistencies by contacting peer reviewers for clarification or corrections.
  • Support the handling of customer complaints and quality assurance concerns.
  • Maintain compliance with federal ERISA requirements and state mandates.
  • Provide management with insight into consultant quality, availability, and compliance.
  • Support effective and efficient use of company resources.
  • Complete required education and training activities.
  • Carry out other assigned responsibilities.

Talablar

  • Hold an active RN or LPN nursing license.
  • Graduate from an accredited nursing program or possess related medical experience.
  • A bachelor’s degree is preferred.
  • Have at least two years of clinical or related experience, or an equivalent combination of education and experience.
  • Demonstrate strong knowledge of medical terminology, anatomy and physiology, medications, and laboratory values.
  • Perform arithmetic calculations involving whole numbers, decimals, rates, and percentages.
  • Type at least 40 words per minute.
  • Operate computers, fax machines, copiers, scanners, and telephones.
  • Use Microsoft Word, Outlook, Excel, and the Internet.
  • Demonstrate excellent English usage, grammar, punctuation, and writing style.
  • Follow instructions and accurately respond to management direction.
  • Work independently, prioritize tasks, and manage time efficiently.
  • Maintain confidentiality.

Imtiyozlar

  • Medical, vision, and dental benefits are available.
  • Paid time off.
  • 401(k) plan.

O‘xshash ish o‘rinlari

Kreato Global | BPO and Language Solutions

Remote English-Spanish OPI/VRI Interpreter

Kreato Global | BPO and Language Solutions
201 – 500 Xodimlar
LogistikaMehmondo‘stlikSog‘liqni saqlash
ARArgentinaBOBoliviyaBRBraziliyaCLChiliCOKolumbiyaCRKosta-RikaCUKubaDODominikan RespublikasiECEkvadorGTGvatemalaHNGondurasHTGaitiMXMeksikaNINikaraguaPAPanamaPEPeruPRPuerto-RikoPYParagvaySVSalvadorUYUrugvayVEVenesuelaMasofaviyTo‘liq stavkaJuniorDiplom talab qilinmaydiTalab Qilinadigan Til: inglizchaTalab Qilinadigan Til: ispanchaTarjimon

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.

Ochish