Client Coordinator
MES Solutions, a respected pioneer in independent medical examination (IME) and peer review services, sets the standard for independent review services nationwide. We handle evaluations for property and casualty insurers, self-insureds, third-party administrators, and various business lines including automotive, disability, liability, group health, long-term care, FMLA, and workers' compensation.
About the role
This position involves coordinating and preparing medical claims, records, referrals, and supporting documentation for review and processing. You will retrieve and organize 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.
Responsibilities
- 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 retrieve information.
- Maintain daily contact with the QA department regarding workflow and pending report status.
- Contact providers for assignment and update the database.
- File and archive open and closed cases.
- Verify all client information is current in the database and all client-specific guidelines, rules, or information are documented in the system.
- Work independently and in partnership with other team members to ensure 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 the resolution of customer complaints and quality assurance issues.
- 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.
Requirements
- High school diploma or equivalent required.
- Minimum one year of clerical experience; or equivalent combination of education and experience preferred.
- Experience in a medical office or insurance industry preferred.
- Complete knowledge of general computer, fax, copier, scanner, and telephone.
- Knowledgeable of multiple software programs, including Microsoft Word, Outlook, Excel, and the Internet.
- Ability to be trained on and adhere to HIPAA regulations and compliance standards.
- Qualified typist with a minimum of 40 W.P.M.
- Ability to follow instructions and respond to management’s directions accurately.
- Demonstrate accuracy, thoroughness, and responsibility for quality of work, and ability to take initiative to identify improvements.
- Exceptional communication skills.
- Ability to work independently, prioritize work activities, and use time efficiently.
- Ability to maintain confidentiality.
- Demonstrate and promote a positive team-oriented environment.
- Ability to stay focused and concentrate under normal or heavy distractions.
- Ability to work well under pressure or stressful conditions.
- Ability to manage change, delays, or unexpected events appropriately.
- Ability to follow all company policies and procedures.
Schedule
Full-time position: Monday–Friday, 8:00 AM–4:30 PM PST
Pay
$17 per hour
Benefits
- Competitive benefits
- Paid time off
- 401k