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A leading provider of independent medical exams, peer reviews, bill reviews, Medicare compliance and related services.

Case Coordinator

Case CoordinatorGeneralFull TimeRemoteMid LevelTeam 5,001-10,000Since 2008H1B No SponsorCompany SiteLinkedIn

Location

California

Posted

12 days ago

Salary

$19 / hour

Seniority

Mid Level

High School2 yrs expEnglish

Job Description

Case Coordinator

ExamWorks

• Ensure reports are of the highest quality and integrity • Assist with quality assurance questions • Perform quality assurance review of reports and correspondences • Verify board specialty reviews compliance • Resolution of customer complaints and quality assurance issues

Job Requirements

  • High school diploma or equivalent required
  • Minimum two years clinical or related field experience or equivalent combination of education and experience
  • Knowledge of insurance industry preferably claims management
  • Strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values
  • Qualified typist with a minimum of 40 W.P.M
  • Proficient in Microsoft Word, Outlook, Excel, and Internet use
  • Exceptional communication skills

Benefits

  • Health insurance
  • 401k
  • Paid time off

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• Gather claim data and manage low to mid-level workers compensation claims to full duty Return to work • Facilitate appropriate treatment services efficiently, within required Ohio BWC Guidelines for compliance, company standards, industry best practices and/or client specific requirements • Obtain expected elements for subsequent EDI to the Bureau of Workers Compensation (BWC) • Manage medical-only and low- to mid-level lost-time workers compensation claims under close supervision • Process workers compensation claims reviewing receipt of compensation; Treatment plans; facilitating services; collaborating with all claim parties with updates and changes • Verify return to work documentation through telephonic and written communications and records return to work dates appropriately in system(s) • Manage claims in close collaboration with Claims Management Team • Support other claims management staff with larger or more complex claims as necessary • Make referral for case management and/or utilization management when work status changes due to functional limitations/medical instability • Document communications and claims management appropriately in system(s) • Respond to all inquiries within one (1) business day • Maintain knowledge of BWC rules and laws, workers compensation process, and CHS policies and procedures • Maintain professional client relationships • Meet and maintain productivity and quality expectations

Ohio
$17 - $19 / hour