QA Coordinator 1

The 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.

Outcome/Results

The successful incumbent ensures that all QAC requirements are met in a timely and accurate manner ensuring that quantitative results are met without sacrificing qualitative results.

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 & Experience

HS Diploma or equivalent

Proficiency with MS Office Suite and Excel

Physical 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)