About The Position

The New York Workers' Compensation Quality Analyst is responsible for managing the various aspects of the medical file review process. They will review the completed referral to ensure client questions have been addressed appropriately and review the completed report for accuracy. Ensuring client and department standards have been met. 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

  • An Associate’s Degree or Bachelor’s Degree is preferred.
  • Business experience in a healthcare and/or insurance setting is preferred.
  • Working with technology based processes within the business environment.
  • 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.
  • Any lifting, bending, traveling, etc. required to do the job duties listed above.
  • Long periods of sitting and computer work.

Responsibilities

  • Reviews reports accompanying medical records to ensure that the report is complete and that all questions posed by the client have been addressed.
  • Follows up with the reviewer with any additional questions or clarifications needs.
  • Follows up with the client should there be any additional questions.
  • Updates clients frequently on referral progress.
  • Ensures the report is grammatically correct with no spelling errors.
  • Ensures each referral adheres to the QA checklist prior to the completion.
  • Formats reports for approval.
  • Communicates clearly and concisely between the customer, reviewer, and Operations team
  • Must confidently speak with physicians and clients regarding the content of their peer reviews.
  • Other duties & special projects, as assigned and based on business needs.

Benefits

  • medical
  • dental
  • vision coverage
  • voluntary life insurance options for you, your spouse, and your children
  • hospital indemnity
  • critical illness
  • accident indemnity
  • pet insurance plans
  • basic life insurance
  • short-term disability
  • long-term disability coverage at no cost
  • generous paid time off policy
  • 401k plan with a company match
  • Apple equipment and a media stipend are provided for remote workspace

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Education Level

Associate degree

Number of Employees

101-250 employees

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