Independent Medical Exam (IME) Coordinator Cypress Care
Responsible for facilitating Independent Medical Exam appointments for Injured Parties (IP).
Essential Duties & Responsibilities
Schedules appointments for IP with Independent Medical Examiners (IME) within 5 calendar days from the date of the assignment.
Handles an approximate caseload of 80-90+ IME files.
Ensures IME appointments are scheduled to occur within 21 calendar days from the date of the assignment.
Facilitates and documents all actions taken on any file including, but not limited to, cancellation and rescheduling IME Appointments as requested or directed by the client, the IP or the IP?s representative.
Responds promptly to inquiries or requests verbally or in writing with regard to the IME file including, but not limited to, attorneys, IPs, clients or any AIMS department employee.
Coordinates client approved transportation in accordance with departmental policy and procedures.
Ensures appointment notification letters are generated accurately and timely in accordance with departmental policy and procedures.
Ensures all medical records are complete, free from duplications, in appropriate chronological order from the date of injury to present when sent to the IME Provider.
Promptly contacts IME providers when we have not received the timely IME reports in accordance with the departmental policy, standards and procedures.
Ensures the quality, accuracy and completeness of the IME reports prior to processing these reports and promptly takes action to resolve any discrepancies in order to ensure timeliness.
Properly identifies and submits Provider Grievances in accordance with the department policy and procedures.
Properly and accurately processes all incoming mail the same business day received.
Confirms and documents that all served parties received all IME notification letters and/or medical records in accordance with the departmental policy and procedures.
Sends out and secures back from all Non-Contracted IME Providers a signed fee agreement prior to the IME Appointment date in accordance with departmental policies and procedures.
Ensures allIME provider invoices are billed at the agreed upon and / or contracted rates and promptly resolves any discrepancies by facilitating and securing the corrected invoice.
Properly processes requests/approvals for any IME fee which are in excess of any Customers agreed upon rates.
Accurately processes IME internal prepayment requests.
Communicates contracted IME provider updates / changes and submits IME recruitment requests per departmental policy and procedures to ensure the quality of our contracted Review Services Provider database.
Facilitates IME Addendums at the direction of the Account or their representative, Case Manager or Management team.
Acts as preceptor for IME Coordinators as directed by Management, if requested.
Works with the AIMS team to facilitate additional medical necessity issues that may arise after the IME assignment, prior to and after the IME appointment has occurred.
Ensures confidentiality and maintains accurate files and notepad entries.
Adheres to cost savings measures and departmental and company-wide Quality Assurance programs.
Adheres to statutory regulations, HIPAA compliance, account protocols and department policy and procedures.
Performs other Review Services departmentduties as assigned.
Maintains the integrity of RMS system at all times and adheres to all electronic paperless workflows.
This position has no supervisory responsibilities.
Accountability: Exhibit and drive a sense of urgency, responsiveness and credibility.
Adaptability: Ability to work effectively in a fast paced environment while consistently producing error free work and meeting deadlines.
Communication: Speak clearly, listen actively and convey information effectively both verbally and in writing.
Customer Service: Respond promptly to customer inquiries, build relationship of trust and respect, and strive to meet and/or exceed expectations.
Organization: Demonstrate effective time management, prioritization and organizational skills.
Professionalism: Demonstrate positive and effective interpersonal and relationship management skills internally and externally
Team Work: Contribute to building positive team environment, gives and receives feedback,
and listen to others? views.
Associate?s Degree in Science or job related field and up to 1 year of related experience preferred.
Proficient computer skills including typing and Microsoft Office software.
Professional phone etiquette.
Accurate and timely data entry skills.
Excellent communication, interpersonal and organizational skills.
Work performed in an office environment.
Job performed while sitting.
||2736 Meadow Church Road |
Atlanta, GA 30024