Quality Assurance Admin
Boca Raton, FL · On-site
The Quality Assurance Administrator is responsible for obtaining timely receipt of physician reports and forwarding to the appropriate QA analyst; adherence to compliance processes and protocols ...
60 Genex Jobs Hiring Near You
Quality Assurance Admin
Boca Raton, FL · On-site
The Quality Assurance Administrator is responsible for obtaining timely receipt of physician reports and forwarding to the appropriate QA analyst; adherence to compliance processes and protocols ...
Medical Nurse Case Manager
Marquette, MI · On-site
Individual will be responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled individuals involved in the medical case management process. Works as an ...
Medical Nurse Case Manager
Marquette, MI · On-site
Individual will be responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled individuals involved in the medical case management process. Works as an ...
he Quality Assurance Administrator is responsible for obtaining timely receipt of physician reports, and forwarding to the appropriate QA analyst; adherence to compliance processes and protocols ...
he Quality Assurance Administrator is responsible for obtaining timely receipt of physician reports, and forwarding to the appropriate QA analyst; adherence to compliance processes and protocols ...
Provision of comprehensive Utilization Management, incorporating the strategies of cost containment, appropriate utilization of services, and Case Management in a cooperative effort with other ...
Provision of comprehensive Utilization Management, incorporating the strategies of cost containment, appropriate utilization of services, and Case Management in a cooperative effort with other ...
Medical Nurse Case Manager
Tucson, AZ · On-site
Individual will be responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled individuals involved in the medical case management process. Works as an ...
Medical Nurse Case Manager
Tucson, AZ · On-site
Individual will be responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled individuals involved in the medical case management process. Works as an ...
Medical Nurse Case Manager
Orlando, FL · On-site
Individual will be responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled individuals involved in the medical case management process. Works as an ...
Medical Nurse Case Manager
Orlando, FL · On-site
Individual will be responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled individuals involved in the medical case management process. Works as an ...
Field Nurse Case Manager (RN)
Pontiac, MI · On-site
Individual will be responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled individuals involved in the medical case management process. Works as an ...
Field Nurse Case Manager (RN)
Pontiac, MI · On-site
Individual will be responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled individuals involved in the medical case management process. Works as an ...
Medical Nurse Case Manager
Harrisburg, PA · On-site
Individual will be responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled individuals involved in the medical case management process. Works as an ...
Medical Nurse Case Manager
Harrisburg, PA · On-site
Individual will be responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled individuals involved in the medical case management process. Works as an ...
Individual will be responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled individuals involved in the medical case management process. Works as an ...
Individual will be responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled individuals involved in the medical case management process. Works as an ...
Individual will be responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled individuals involved in the medical case management process. Works as an ...
Individual will be responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled individuals involved in the medical case management process. Works as an ...
Clinics Coordinator
Anchorage, AK · On-site
The Clinics Coordinator will be responsible for preparing for clinic days and running the day to day operations of the clinics. Responsibilities: Ensuring the clinics are ready for examinee and ...
Clinics Coordinator
Anchorage, AK · On-site
The Clinics Coordinator will be responsible for preparing for clinic days and running the day to day operations of the clinics. Responsibilities: Ensuring the clinics are ready for examinee and ...
he Quality Assurance Administrator is responsible for obtaining timely receipt of physician reports, and forwarding to the appropriate QA analyst; adherence to compliance processes and protocols ...
he Quality Assurance Administrator is responsible for obtaining timely receipt of physician reports, and forwarding to the appropriate QA analyst; adherence to compliance processes and protocols ...
This position is responsible for direct oversight of provider relations representatives working in a call-center environment. Handles hiring, coaching, and overall management of a team of 10-12 ...
This position is responsible for direct oversight of provider relations representatives working in a call-center environment. Handles hiring, coaching, and overall management of a team of 10-12 ...
Field Nurse Case Manager (RN)
Boston, MA · On-site
Individual will be responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled individuals involved in the medical case management process. Works as an ...
Field Nurse Case Manager (RN)
Boston, MA · On-site
Individual will be responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled individuals involved in the medical case management process. Works as an ...
Medical Nurse Case Manager
Bethlehem, PA · On-site
Currently seeking a Field Nurse Case Manager to cover the Allentown, Easton, Bethlehem area. Individual will be responsible for assessment, planning, coordination, implementation and evaluation of ...
Medical Nurse Case Manager
Bethlehem, PA · On-site
Currently seeking a Field Nurse Case Manager to cover the Allentown, Easton, Bethlehem area. Individual will be responsible for assessment, planning, coordination, implementation and evaluation of ...
Implementation Project Manager
Denver, CO · On-site
The Implementation Manager plans and manages service implementations for Fortune 500 clients. This position works closely with both senior leaders and technical resources to implement new solutions ...
Implementation Project Manager
Denver, CO · On-site
The Implementation Manager plans and manages service implementations for Fortune 500 clients. This position works closely with both senior leaders and technical resources to implement new solutions ...
Medical Nurse Case Manager
Wichita, KS · On-site
Individual will be responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled individuals involved in the medical case management process. Works as an ...
Medical Nurse Case Manager
Wichita, KS · On-site
Individual will be responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled individuals involved in the medical case management process. Works as an ...
Provision of comprehensive Utilization Management, incorporating the strategies of cost containment, appropriate utilization of services, and Case Management in a cooperative effort with other ...
Provision of comprehensive Utilization Management, incorporating the strategies of cost containment, appropriate utilization of services, and Case Management in a cooperative effort with other ...
Bilingual Medical Field Case Manager
Hartford, CT · On-site
$21.75 - $27.50/hr
We are currently seeking a Bilingual (English/Spanish-speaking) Medical Nurse Case Manager (RN). Responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled ...
Bilingual Medical Field Case Manager
Hartford, CT · On-site
$21.75 - $27.50/hr
We are currently seeking a Bilingual (English/Spanish-speaking) Medical Nurse Case Manager (RN). Responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled ...
Seeking a qualified Nurse Case Manager residing in the Orange County area. Individual will be responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled ...
Seeking a qualified Nurse Case Manager residing in the Orange County area. Individual will be responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled ...
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Job description
The Quality Assurance Administrator is responsible for obtaining timely receipt of physician reports and forwarding to the appropriate QA analyst; adherence to compliance processes and protocols; excellent customer service to ensure customer satisfaction.
Responsibilities:
Delivers quality customer service from initial request for service until completion of end product (final report)
Contacts providers to request physician reports in a timely manner
Responsible for following workflow based on current queue statuses
Receive physician reports and forward to appropriate QA Analyst
Responds to client requests regarding report status
Follows up with physicians when needed to obtain clarification or appropriate responses to all issues requested
Performs billing, invoicing, and accounting functions
Adheres to client protocols and jurisdictional regulations including, logging, processing and progress inquiries
Submits end product (final report) to the client as dictated by their protocol
Keeps client apprised regarding any delays or issues
Contacts appropriate agencies or persons for verifying information
Handles incoming and outgoing calls effectively and efficiently meeting client standards/protocols
Communicates immediately with Quality Assurance Manger regarding any client concerns
Meets specific department metrics
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
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
Other duties as assigned
Qualifications:
HS Diploma or equivalent
Proficient with MS Office Suite, specifically Excel
Previous medical records, billing, and/or insurance experience highly preferred, but not required
Previous accounting, reporting, and invoicing experience a plus
Excellent communication skills-verbal and written
Ability to organize and prioritize work effectively
Ability to accept and apply constructive feedback