IME QA Supervisor

Dane Street, LLC

6h•Remote

About The Position

The QA Supervisor is responsible for the oversight of the review of Physician reports and accompanying medical records to ensure that the report is complete, accurate, and consistent with medical evidence. Dane Street’s success relies on individual and team contributions every day. We care for our customers, each other and Dane Street. It is the responsibility for all of us to maintain a positive working environment that promotes client satisfaction and results.

Requirements

Medical peer review or healthcare industry knowledge required.
Present exceptional communication skills with a clear understanding of company business lines.
The ability to apply critical thinking, manage time efficiently and meet specific deadlines.
Computer literacy and typing skills are essential.
Supply and support their own internet services.
Maintaining an uninterrupted internet connection is a requirement of all work from home position.

Nice To Haves

An Associate’s Degree or Bachelor’s Degree is preferred.
Business experience in a healthcare and/or insurance setting is preferred.

Responsibilities

Oversight of QA staff
Ensure appropriate QA staff are assigned to each file to designate file handling responsibilities amongst the team.
Supervise the assigned staff and manage the File Review Board to ensure a timely and accurate process of each file.
Provide details of board reviews to managers to ensure efficiency and productivity of staff.
Assist in identifying & correcting staff performance including promotions, discipline, coaching and termination of staff.
Assist in hiring qualified candidates for QA open positions.
Ensure that all QA staff adhere to and meet their specific job duties including but not limited to: Following up with Physicians for outstanding reports, Reviewing received reports for accuracy, Delivering completed reports back to all applicable parties, Following all client-specific instructions
Actively participate in issue resolution by working with the required QA, physicians, account managers, and/or other related parties.
Follow up with physicians with any additional questions or need for further clarification and Client outreach to advise of delays for status updates.
Ensure referrals meet the client-directed Turn Around Time (TAT).
Ensure correct Doctor Payment amount and Client Invoice amount upon approval of referrals.
Review reports accompanying medical records to ensure that the report is complete, that all questions posed have been addressed and that the report is free of errors.
Assist management team with intake completion.
Act as the liaison between the reviewer, team member and client regarding the process or status of the file.
Assist in communications with the requester regarding questions and issues.
Other duties & special projects, as assigned and based on business needs.

Benefits

medical coverage
dental coverage
vision coverage
voluntary life insurance options for you, your spouse, and your children
voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans
basic life insurance
short-term disability coverage
long-term disability coverage
paid time off
401k plan with a company match
Apple equipment and a media stipend are provided for remote workspace.