IME Quality Analyst

Dane Street; United States; Remote; USD 50,000 - 70,000; Full time

Job summary

Dane Street is seeking a Quality Analyst to manage the medical file review process. This role involves ensuring client questions are addressed and reports are accurate. Join a fast-paced, high-performance culture with a comprehensive benefits package.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

401k with Company Match

Paid Time Off

Qualifications

• Experience in healthcare and/or insurance setting preferred.
• Experience with technology-based processes.

Responsibilities

• Review medical reports to ensure completeness and accuracy.
• Communicate with clients and reviewers regarding reports.
• Ensure reports adhere to QA checklist.

Skills

Communication

Critical Thinking

Computer Literacy

Time Management

Education

Associate's Degree

Bachelor's Degree

Job description

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Job Summary

The 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.

Major Duties & Responsibilities

Quality Audits

• 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 needed
• 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 completion
• Formats reports for approval

Communication

• Communicates clearly and concisely between the customer, reviewer, and Operations team
• Confidently speaks with physicians and clients regarding the content of their peer reviews

Other duties & special projects, as assigned and based on business needs.

Requirements

Education/Credentials

An Associate's Degree or Bachelor's Degree is preferred.

Job Relevant Experience

Business experience in a healthcare and/or insurance setting is preferred. Experience working with technology-based processes within the business environment.

Job Related Skills/Competencies

Exceptional communication skills with a clear understanding of company business lines. Ability to apply critical thinking, manage time efficiently, and meet deadlines. Computer literacy and typing skills are essential.

Working Conditions/Physical Demands

Includes any lifting, bending, traveling, etc., required to do the job duties listed above. Long periods of sitting and computer work.

Work From Home Technical Requirements

Must supply and support own internet services. Maintaining an uninterrupted internet connection is required.

This job description is subject to change at any time.

Benefits

Join our team at Dane Street and enjoy a comprehensive benefits package including medical, dental, vision, voluntary life insurance, hospital indemnity, critical illness, accident indemnity, pet insurance, basic life insurance, disability coverage, paid time off, 401k with company match, equipment, and media stipend.

About Dane Street

A fast-paced, Inc. 500 Company with a high-performance culture, processing over 200,000 insurance claims annually for various clients, providing customized IME and Peer Review programs to assist in medical determinations.

Additional Information

• Seniority level: Entry level
• Employment type: Full-time
• Job function: Quality Assurance
• Industries: IT Services and IT Consulting

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