Dane Street, LLC

Insurance

IMEQASupervisor

Remote Remote Friendly
The Brief

“IME QA Supervisor at Dane Street, LLC. Skills: Process management, Cross-functional coordination, Vendor/stakeholder management, Operational metrics, Resource planning, Continuous improvement. Oversee QA staff. Assign QA staff to files”

What You'll Achieve.

Ensure timely and accurate process of each file; Ensure efficiency and productivity of staff; Ensure report is complete, accurate, and consistent; Ensure report is free of errors

Industry & Context.

Insurance
Problems you'll solve

Critical thinking

Eligibility Requirements

Supply and support own internet services, Maintain uninterrupted internet connection, Lifting, bending, traveling as required, Long periods of sitting and computer work

What They're Looking For.

Must Have

Medical peer review or healthcare industry knowledge required

Nice to Have

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

What You'll Do.

Assign QA staff to files

Supervise staff and manage File Review Board

Provide board review details to managers

Assist in identifying & correcting staff performance

Assist in hiring qualified candidates

Ensure QA staff adhere to job duties

Follow up with Physicians for outstanding reports

Review reports for accuracy

Deliver completed reports

Follow client-specific instructions

Participate in issue resolution

Follow up with physicians for clarification

Client outreach for status updates

Ensure referrals meet client-directed Turn Around Time

Ensure correct Doctor Payment amount

Ensure correct Client Invoice amount

Review reports with medical records

Assist management with intake completion

Act as liaison between reviewer

Assist in communications with requester

Perform other duties & special projects

How You'll Work.

Team & Collaboration

Cross-functional coordination; Work with QA, physicians, account managers; Liaison between reviewer, team member, client; Assist in communications with requester

Communication Scope

Exceptional communication skills

Free ATS check

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