We're looking for a Remote Client Coordinator to join our team!
The Client Coordinator is responsible for coordinating and preparing medical claims, records, referrals, and supporting documentation for review and processing. This role involves retrieving and organizing claim-related materials from multiple sources, ensuring all required documents are complete, accurate, and properly compiled into comprehensive case files for submission to external vendors and reviewers.
Duties & Responsibilities include:
Handle and respond promptly to inquiries from clients and/or anyone acting on behalf of the client regarding questions, report status, concerns, or general requests for information.
Utilize appropriate systems and databases to enter client or claimant information and or retrieve information.
Maintain daily contact with the QA department regarding workflow and pending report status.
Contact providers for assignment and update database.
File and archive open and closed cases.
Verify all client information is current in the database and all client specific guidelines and or rules or information is documented in the system.
Work independently and in partnership with other team members to ensure that questions are addressed, documented and cases are returned in a timely fashion.
Direct calls to other departments as needed.
Perform various clerical duties such as typing, filing, emailing, and proofreading.
Assist in resolution of customer complaints and quality assurance issue.
Notify management of any report issues or concerns.
Ensure all practices are carried out in accordance with state and federal safety and legal regulations.
Perform other duties as assigned.
Education and/or Experience
High school diploma or equivalent required.
Minimum one year clerical experience; or equivalent combination of education and experience preferred.
Experience in a medical office or insurance industry preferred.
Must possess complete knowledge of general computer, fax, copier, scanner, and telephone.
Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.
Must have ability to be trained on and adhere to HIPAA regulations and compliance standards.
Must be a qualified typist with a minimum of 40 W.P.M.
Ability to follow instructions and respond to managements’ directions accurately.
Must demonstrate accuracy, thoroughness, and responsibility for quality of work, and ability to take initiative to identify improvements. Looks for ways to improve and promote quality and monitors own work to ensure quality is met.
Must demonstrate exceptional communication skills.
Must be able to work independently, prioritize work activities and use time efficiently.
Must be able to maintain confidentiality.
Must be able to demonstrate and promote a positive team -oriented environment.
Must be able to stay focused and concentrate under normal or heavy distractions.
Must be able to work well under pressure and or stressful conditions.
Must possess the ability to manage change, delays, or unexpected events appropriately.
Ability to follow all company policies and procedures in effect at time of hire and as they may change or be added from time to time.
MES Solutions, a respected pioneer of the independent medical examination (IME) and peer review services industry, is setting the standard for independent review services nationwide. We handle evaluations for a variety of property and casualty insurers, self-insureds and third-party administrator’s business lines such as: automotive, disability, liability, group health, long-term care, FMLA and workers' compensation. IME and Peer Review services play an important role in evaluating the appropriateness, medical necessity, cost, as well as certification of requests for care. IME services and Peer Review services are provided by MES Solutions, accredited by URAC for CORE Organizational Quality, and MES Peer Review Services, a URAC accredited Comprehensive Independent Review Organization, respectively.
MES 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
MES Solutions offers a fast-paced team atmosphere with competitive benefits, paid time off, and 401k.
