Liability IME Operations Specialist

United StatesFull-TimeMiddle
Salary not disclosed
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Job Details

Required Skills
Time ManagementCritical thinkingData entryQuality Assurance

Requirements

  • Associate’s Degree or Bachelor’s Degree preferred.
  • Experience in a healthcare or insurance setting preferred.
  • Operations experience with technology-based processes.
  • Exceptional communication skills.
  • Strong critical thinking and time management abilities.
  • Computer literacy and strong typing skills.
  • Reliable high-speed internet connection required for remote work.

Responsibilities

  • Intake new cases, verify information, and enter data into the AccessDS system.
  • Assign and schedule cases to appropriate physicians based on location, availability, and client guidelines.
  • Perform conflict of interest checks for physician assignments.
  • Monitor, process, and track cases to ensure deadlines are met.
  • Conduct quality audits of medical reports to ensure all client questions are addressed.
  • Follow up with reviewers and clients for clarifications.
  • Update clients frequently on referral progress.
  • Format reports for approval and ensure adherence to QA checklists.
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