Administration Coordinator (internally known as Operations Outcome Coordinator)

In this role, you will be working closely with the Pharmacists and Resolution/Submission Specialists to aid in the overall support of the department. You will conduct medical file reviews, communicate with the accounts as needed, complete follow-up calls for the Claim Specialists, manage new referrals, as well as process final settlement documents and portal determinations.

Are you motivated, energetic, and excited to become part of the ExamWorks team? If so, you might be our next new team member!

• Average work day, included but not limited to:
  • Pharmacy support (setting appointments, calls/faxes, ex parte communication, medical records review/summarization) - 50% or as needed
  • Resolution/Submission (calls and faxes, assist with new referrals, final settlement document handling) - 50% or as needed
• Provide overall support to the department and assist in the daily distribution of work and ensure all timelines are met and operations are run in the most effective and efficient way possible.
• Refer to Account Instructions to ensure proper handling of referrals.
• Appropriate documentation of referrals including system notes and emails.
• Promote effective and efficient utilization of clinical resources and supplies.
• Abide by all rules of the company such as safety, confidentiality and organizational directives.

• High school diploma or equivalent required.
• A minimum of one to three years of administrative clerical experience or equivalent combination of education and experience required.
• Strong clinical experience in reading, understanding, and summarizing medical documentation is required.
• Experience in the insurance industry or medical office is preferred.
• Pharmacy experience a plus.
• Ability to demonstrate strong customer service skills.
• Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed.
• Ability to follow instructions and respond to managements' directions accurately.
• Must be able to work independently, prioritize work activities and use time efficiently.
• Ability to concentrate and multitask in a fast paced work environment.
• Must demonstrate accuracy and thoroughness.
• Must be able to maintain confidentiality.
• Must be able to demonstrate and promote a positive team -oriented environment.
• Must be able to work well under pressure and/or stressful conditions.
• Must have the ability to manage change, delays, or unexpected events appropriately.
• Must have excellent skills in English usage, grammar, punctuation and style.
• Must have strong knowledge of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel and the internet.
• 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.

ExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers' compensation insurance coverages.