The Medicare File Coordinator performs quality assurance reviews and audits files to ensure compliance with client specifications and regulatory mandates. They also provide support to the customer service department by managing billing data, examination fees, and document scanning.
Job DetailsJob Location: Lawrenceville, GA 30043Position Type: Full TimeSalary Range: $20.00 - $22.00 HourlyTravel Percentage: None
ExamWorks Compliance Solutions is seeking a detail-oriented individual to join the team as a Medicare File Coordinator.
The Medicare File Coordinator is responsible to ensure information is entered correctly and to the highest quality and integrity and is in full compliance with client contractual agreement, regulatory agency standards and/or federal and state mandates. This position is required to assist customer service team and provide overall support to the Customer Service Department
This is a *remote* full time position with a standard work schedule Monday-Friday, 8am-5pm (must be able to work Eastern time zone).
RESPONSIBILITIES:
Performs quality assurance reviews of information, correspondences and files
Ensures all cases contain the correct information for the examination process
Audits files to ensure that all client instructions and specifications have been followed
Completes and ensures all examination fees are quoted daily and are in accordance with company practices
Ensures that the appropriate board specialty has received the case in compliance with client specifications and/or state mandates and is documented accurately
Assists with data entry of billing information
When necessary, notifies management of any case issue or concerns requiring management’s attention
Ensures all practices are carried out in accordance with HIPAA compliance practices, state and federal safety standards and legal regulations
Calls for invoices from physicians
Assists with mail as needed
Assists with the scanning of documents
Qualifications
QUALIFICATIONS:
High school diploma or equivalent required
A minimum of two years clinical or related field experience; or equivalent combination of education and experience required
Medicare knowledge or experience a PLUS
Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet
Must possess excellent skills in English usage, grammar, punctuation and style
Demonstrates accuracy and thoroughness. Looks for ways to improve and promote quality and monitors own work to ensure quality is met
Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed
Must be able to maintain confidentiality
Must be able to demonstrate and promote a positive team -oriented environment
Who We Are:
ECS was formed in 2014 from the acquisition and consolidation of two pillars within the Medicare Secondary Payer (MSP) compliance industry: Gould & Lamb, providers of MSP compliance and reporting services, and MedAllocators/Ability Services Network, a national provider of MSP compliance and case management. Launched as Examworks Clinical Solutions, the new company offered unprecedented, integrated services aimed at managing high dollar complex Medicare, medical, and pharmaceutical claims. In May 2020, the organization name was changed to ExamWorks Compliance Solutions. A single word change, but one that truly reflects the core of what is offered by ECS. Today, our mission remains focused on providing the most comprehensive, creative, and customizable compliance and
reporting solutions for the marketplace.
ECS is an Equal Opportunity Employer and affords equal opportunity to all qualified applicants for all positions without regard to protected veteran status, qualified individuals with disabilities and all individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age or any other status protected under local, state or federal laws.
Equal Opportunity Employer - Minorities/Females/Disabled/Veterans
ExamWorks Compliance Solutions offers a fast-paced team atmosphere with competitive benefits (medical, vision, dental), paid time off, and 401k.
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