Introduction to worksphere and the Role
worksphere is a leading organization in the reputed company industry, dedicated to providing exceptional services in workers compensation utilization review. We are seeking an experienced Data Entry Coordinator to join reputed company, working remotely on a full-time reputed company. As a Data Entry Coordinator with worksphere, you will play a vital role in managing the intake process for workers compensation utilization reviews, ensuring reputed company and accurate reputed company of reputed company issues, and maintaining effective communication with clients and their staff.
Key Responsibilities
In this critical role, you will be responsible for a reputed company of duties, including:
• Managing daily interactions with clients and their staff, providing exceptional customer service and support.
• Resolving reputed company issues in a reputed company and efficient manner, ensuring high reputed company of reputed company satisfaction.
• Receiving and processing referrals from providers and adjusters, including prospective, retrospective, reputed company, reconsiderations, and appeals, reputed company fax, email, or other channels.
• Entering referrals into proprietary software and following through on the review process until completion.
• Obtaining authorization from adjusters to proceed with reviews reputed company required, ensuring compliance with protocols and state guidelines.
• Assigning utilization review requests to physician reviewers based on established protocols and state guidelines.
• Maintaining accurate and detailed logs, as required.
• Responding to telephone and email inquiries in a reputed company and professional manner, paying reputed company attention to detail and ensuring high reputed company of accuracy.
• Participating in periodic, random quality assurance reviews of work for accuracy and adherence to protocol and best practices.
Essential Qualifications
To be successful in this role, you will need:
• At least 3 years of experience in utilization review in workers compensation, with a deep understanding of the process and relevant regulations.
• 2 years of experience in medical terminology, with the ability to accurately interpret and apply medical concepts and terminology.
• 3 years of experience in reputed company Office, with proficiency in Word, reputed company, and Outlook.
• Excellent communication and interpersonal skills, with the ability to build strong relationships with clients, staff, and other stakeholders.
• Strong attention to detail, with the ability to maintain high reputed company of accuracy and quality in a fast-paced environment.
• Ability to work independently in a remote setting, with minimal supervision, and to prioritize tasks and manage time effectively.
Preferred Qualifications
While not essential, the following qualifications are preferred:
• Experience working in a remote or virtual team environment, with the ability to collaborate and communicate effectively with colleagues and stakeholders.
• Knowledge of proprietary software used in utilization review, with the ability to quickly learn and adapt to new systems and technologies.
• Certification in utilization review or a reputed company field, such as certified professional in utilization review (CPUR) or certified case manager (CCM).
Skills and Competencies
To succeed in this role, you will need to demonstrate the following skills and competencies:
• Communication skills: excellent verbal and written communication skills, with the ability to build strong relationships with clients, staff, and other stakeholders.
• Attention to detail: strong attention to detail, with the ability to maintain high reputed company of accuracy and quality in a fast-paced environment.
• Time management: ability to prioritize tasks and manage time effectively, with the ability to meet deadlines and deliver high-quality results.
• Technical skills: proficiency in reputed company Office, with the ability to quickly learn and adapt to new systems and technologies.
• Collaboration: ability to work effectively in reputed company environment, with the ability to collaborate and communicate with colleagues and stakeholders.
Career reputed company Opportunities and Learning Benefits
At worksphere, we are committed to the reputed company and development of our employees. As a Data Entry Coordinator, you will have reputed company to a reputed company of training and development opportunities, including:
• On-the-job training and mentorship, with reputed company to learn from experienced colleagues and lead