100% Remote Quality Assurance Coordinator (Medical Assistant Experience Required)

Medical Evaluation Specialists - Fayetteville, AR

Full-time

Remote - Fayetteville, AR

Professional, Scientific, and Technical Services

About the position

The Quality Assurance Coordinator position at ExamWorks is designed for Medical Assistants seeking a remote role. The primary responsibility is to review medical reports for accuracy, ensuring compliance with client specifications and company standards. This role offers a structured schedule from Monday to Friday, with opportunities for professional growth in an employee-first environment.

Responsibilities

• Performs quality assurance review of medical reports, correspondences, addendums or supplemental reviews.
• Ensures clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations.
• Ensures that all client instructions and specifications have been followed and that all questions have been addressed.
• Ensures each review is supported by clinical citations and references when applicable and verifies that all references cited are current and obtained from reputable medical journals and/or publications.
• Ensures the content, format, and professional appearance of the reports are of the highest quality and in compliance with company standards.
• Ensure that the appropriate board specialty has reviewed the case in compliance with client specifications and/or state mandates and is documented accurately on the case report.
• Verifies that the peer reviewer has attested to only the fact(s) and that no evidence of reviewer conflict of interest exists.
• Ensures the provider credentials and signature are adhered to the final report.
• Identifies any inconsistencies within the report and contacts the Provider to obtain clarification, modification or correction as needed.
• Assists in resolution of customer complaints and quality assurance issues as needed.
• Ensures all federal ERISA and/or state mandates are adhered to at all times.
• Provides insight and direction to management on consultant quality, availability and compliance with all company policies and procedures and client specifications.
• Promote effective and efficient utilization of company resources.
• Participate in various educational and or training activities as required.
• Perform other duties as assigned.

Requirements

• High school diploma or equivalent required.
• Two years of medical office experience.
• Strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values.
• Qualified typist with a minimum of 40 W.P.M preferred.
• Knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.
• Excellent skills in English usage, grammar, punctuation and style.
• Ability to follow instructions and respond to upper managements' directions accurately.
• Demonstrates accuracy and thoroughness.
• Exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed.
• Ability to work independently, prioritize work activities and use time efficiently.
• Ability to maintain confidentiality.
• Ability to stay focused and concentrate under normal or heavy distractions.
• Ability to work well under pressure and/or stressful conditions.
• Ability to manage change, delays, or unexpected events appropriately.
• Demonstrates reliability and abides by the company attendance policy.

Benefits

• Medical insurance
• Vision insurance
• Dental insurance
• Paid time off
• 401k