Mission/PurposeThe QA Coordinator is responsible for providing quality customer service on a timely basis and interacting with clients to ensure IME provider letters are processed accurately and timely. Responsible for communication and documentation between a wide customer base to include but not limited to, Insurance Carriers, Provider Offices and Attorney Offices.Key Responsibilities
- Delivers quality Customer Service from initial notification of service until completion of end product
- Adheres to client protocols and jurisdictional regulations including appropriate documentation and notification of same
- Ensures all provider letters have been created and processed accurately
- Works with the Medical Records Specialist to ensure all applicable and necessary medical documentation is included for the provider review
- Creates, reviews and revises provider letters as necessary
- Prepares and sends provider letters daily
- Contacts appropriate agencies or persons for the purpose of verifying information
- Ability to efficiently and accurately manage high volume of emails in a timely manner
- Communicates immediately with Supervisor with regard to any client or notification concerns
- Operates company software and equipment
- Enters data by inputting alphabetic and numeric information into system via keyboard
- Demonstrates strong organizational skills with the ability to multi-task without compromising extreme attention to detail
- Communicates using correct English, spelling, grammar, and punctuation
- Ability to understand and follow oral and written instructions while adhering to prescribed departmental routines
- Proficiency with imaging/scanning documents
- Maintains confidentiality and discretion as a general rule
- Works effectively as a team contributor on all assignments
- Interacts professionally with other employees as well as clients
- Has a clear and concise understanding, and adheres to, guidelines as they relate to HIPAA, Conflict of Interest, and Ethics
- Understands current URAC standards as appropriate to job functions
Key Competencies/Skills/Abilities
- HS Diploma or equivalent
- Proficient with MS Office Suite
- Excellent communication skills-verbal and written
- Ability to organize and prioritize work effectively
- Ability to accept and apply constructive feedback
Background & ExperienceHS Diploma or equivalentProficiency with MS Office Suite and ExcelPhysical Requirements
- Ability to remain in a stationary position for long periods of time
- Ability to speak and hear
- Manual dexterity sufficient to operate a computer keyboard and calculator
- The employee may be required to walk
- The ability to see details at close range (within a few feet of the observer)