Medical Case File Specialist
23 hours ago
We are seeking a detail-oriented and organized Medical File Reviewer to assist our medical team in reviewing case files and Disability Benefits Questionnaires (DBQs).
Job Description
Our ideal candidate will have experience working with medical records and be able to effectively communicate with veterans, medical providers, and colleagues. The successful candidate will also have strong analytical and problem-solving skills.
- Prepares case files and DBQs assigned in the client portal by accessing, navigating, and preparing different apps in the medical provider's computer.
- Reviews and bookmarks medical records and creates a synopsis to answer medical opinion questions based on the veteran's medical history.
- Remotely assists the medical provider during a scheduled appointment of a veteran by remotely interviewing the veteran via the approved video or telephone conference platform.
- Transcribes the medical history based on the veteran's answers to the questions in the DBQ.
- Remotely assisting the medical provider by documenting all the physical examination findings in the appropriate section of the DBQs.
- Completes all sections of the DBQ spreadsheets after each appointment.
- Meets with medical providers to discuss each assigned case to determine the final diagnosis per DBQ and for approval of medical opinions.
- Transfers data from the DBQ spreadsheet to the client portal.
- Submits DBQs in the client portal.
- Answers queries/addendum reports from the client's QAs.
- Coordinates with medical providers and other team members regarding the scheduled appointments per day.
Qualifications
- Bachelor's degree in Nursing (BSN), active PHRN license, and good communication skills to assist veterans, medical providers, and colleagues effectively.
- Ability to work independently with minimal supervision and flexibility in work schedule changes as needed.
- Accountability for all assigned cases and proficiency with MS Office applications (Word, Excel, PowerPoint).
- Assist the Lead and/or Trainer in process improvement and assist in creating process-related templates if needed.
- Perform other job-related duties as assigned by supervisor or manager.
Computer Specs Requirements (Work from Home Setup)
The ideal candidate will have a reliable internet connection with at least 20 Mbps download and upload speeds and a backup internet plan with minimum 15 Mbps download and upload speeds.
They will also need a main desktop/laptop with an Intel i5–i7 processor, 8 GB RAM, and a 4th generation or newer processor.
A backup desktop/laptop with an Intel i3–i5 processor, 8 GB RAM, and a 4th generation or newer processor will also be required.
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