IME Quality Analyst

Dane Street, LLC; United States; Remote; USD 40,000 - 80,000; Full time

Job summary

Join a fast-paced company dedicated to client satisfaction as a Quality Analyst. In this role, you'll manage the medical file review process, ensuring accuracy and completeness while maintaining high standards. Your exceptional communication and critical thinking skills will be vital as you interact with clients and colleagues. Enjoy a supportive work environment that values contributions and offers comprehensive benefits, including medical, dental, and generous PTO. If you're ready to make a difference in the healthcare industry, this opportunity is perfect for you.

Benefits

Medical insurance

Dental insurance

Vision insurance

Voluntary life insurance

401k match

Generous PTO

Apple equipment

Media stipend for remote work

Qualifications

• Experience in healthcare and/or insurance settings is preferred.
• Familiarity with technology-based processes in a business environment is beneficial.

Responsibilities

• Review reports to ensure completeness and address client questions.
• Communicate clearly with customers, reviewers, and the Operations team.

Skills

Exceptional communication skills

Critical thinking

Efficient time management

Computer literacy

Typing skills

Education

Associate’s Degree

Bachelor’s Degree

Job description

JOB SUMMARY

The Quality Analyst is responsible for managing various aspects of the medical file review process. They will review completed referrals to ensure client questions are addressed appropriately and verify report accuracy, ensuring client and department standards are met.

Dane Street’s success relies on individual and team contributions daily. We care for our customers, colleagues, and Dane Street. Maintaining a positive work environment that promotes client satisfaction and results is everyone's responsibility.

MAJOR DUTIES & RESPONSIBILITIES

Quality Audits

• Review reports accompanying medical records to ensure completeness and that all client questions are addressed.
• Follow up with reviewers for additional questions or clarifications.
• Communicate with clients regarding any additional questions.
• Update clients frequently on referral progress.
• Ensure reports are grammatically correct and free of spelling errors.
• Verify each referral adheres to the QA checklist before completion.
• Format reports for approval.

Communication

• Communicate clearly and concisely with customers, reviewers, and the Operations team.
• Confidently discuss peer review content with physicians and clients.

Perform other duties and special projects as assigned based on business needs.

EDUCATION/CREDENTIALS:

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

JOB RELEVANT EXPERIENCE:

Experience in healthcare and/or insurance settings is preferred. Familiarity with technology-based processes in a business environment is also beneficial.

JOB-RELATED SKILLS/COMPETENCIES:

Exceptional communication skills, critical thinking, efficient time management, and ability to meet deadlines. Computer literacy and typing skills are essential.

WORKING CONDITIONS/PHYSICAL DEMANDS:

Includes lifting, bending, traveling, and long periods of sitting and computer work.

WORK FROM HOME TECHNICAL REQUIREMENTS:

Must provide and support internet services; maintaining an uninterrupted internet connection is required.

This job description is subject to change.

Join Dane Street and enjoy comprehensive benefits including medical, dental, vision, voluntary life insurance, voluntary benefits like hospital indemnity, critical illness, accident indemnity, pet insurance, free basic life, disability coverage, generous PTO, 401k match, Apple equipment, and a media stipend for remote work.

ABOUT DANE STREET:

A fast-paced Inc. 500 company with a high-performance culture, processing over 200,000 insurance claims annually for various carriers and organizations. We provide customized IME and Peer Review programs to assist in medical determinations within claims management.