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Case Coordinator
Advanced Medical ReviewsCase Coordinator responsible for quality assurance of medical review reports. Working with the Quality Assurance Department to maintain compliance and quality standards.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in quality assurance processes, ensuring compliance with client specifications and effective resolution of customer complaints. Proficient in medical terminology and skilled in utilizing various software applications for documentation and communication.
Highest-signal resume keywords
Quality Assurance ReviewMedical Terminology KnowledgeClaims Management ExperienceTyping Proficiency (40 W.P.M)Microsoft Office Suite Proficiency
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Quality Assurance ReviewMedical TerminologyAnatomy and Physiology KnowledgeTyping ProficiencyLaboratory Values Knowledge
Soft Skills
Excellent English UsageStrong Communication SkillsAttention to Detail
Tools & Technologies
Microsoft WordMicrosoft OutlookMicrosoft ExcelInternet
Industry Keywords
Insurance IndustryClaims ManagementClinical Experience
About the role
Key responsibilities & impact- Performs quality assurance review of reports, correspondences, addendums or supplemental reviews
- Ensures clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations
- Ensures that all client instructions and specifications have been followed and that all questions have been addressed
- Verifies that the peer reviewer has attested to only the fact(s) and that no evidence of reviewer conflict of interest exists
- Assists in resolution of customer complaints and quality assurance issues as needed
Requirements
What you’ll need- High school diploma or equivalent required
- A minimum of two years clinical or related field experience
- Knowledge of the insurance industry preferably claims management
- Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values
- Must be a qualified typist with a minimum of 40 W.P.M
- Must be knowledgeable of multiple software programs, including Microsoft Word, Outlook, Excel, and Internet
- Must possess excellent skills in English usage, grammar, punctuation and style
Benefits
Comp & perks- Health insurance
- 401k
- Paid time off