Physician Advisory Services QA Supervisor

Dane Street, LLC; United States; Remote; USD 70,000 - 90,000; Full time

Job summary

A leading company is seeking a QA Supervisor responsible for overseeing the review of physician reports and medical records. The role includes managing QA staff, ensuring accuracy, and enhancing efficiency. Join a dynamic team with comprehensive benefits and opportunities for growth.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

Paid Time Off

401k with match

Apple Equipment

Media Stipend

Qualifications

• Experience in medical peer review or healthcare industry required.
• Healthcare or insurance business experience preferred.

Responsibilities

• Oversee QA staff and manage the File Review Board.
• Ensure QA staff adhere to duties and follow up with Physicians.
• Assist in hiring qualified candidates for QA positions.

Skills

Communication

Critical Thinking

Time Management

Education

Associate’s or Bachelor’s Degree

Job description

JOB SUMMARY

The QA Supervisor is responsible for overseeing the review of Physician reports and accompanying medical records to ensure completeness, accuracy, and consistency with medical evidence.

Dane Street’s success relies on individual and team contributions daily. We care for our customers and each other, fostering a positive environment that promotes client satisfaction and results.

MAJOR DUTIES & RESPONSIBILITIES

1. Oversight of QA staff

• Assign appropriate QA staff to each file, designating responsibilities among the team.
• Supervise staff and manage the File Review Board to ensure timely, accurate processing of files.
• Report review details to managers to enhance efficiency and productivity.
• Assist in staff performance management, including promotions, discipline, coaching, and termination.
• Participate in hiring qualified candidates for QA positions.

Ensure QA staff adhere to and meet their duties, including:

• Following up with Physicians for outstanding reports.
• Reviewing reports for accuracy.
• Delivering reports to relevant parties.
• Following client-specific instructions.

Participate in issue resolution with QA, physicians, account managers, and related parties.

Follow up with physicians for clarifications and communicate delays to clients.

Ensure referrals meet the client-defined Turnaround Time (TAT).

Verify correct Doctor Payment and Client Invoice amounts upon referral approval.

Review reports with medical records for completeness, accuracy, and error-free content.

Assist management with intake completion.

Act as liaison between reviewer, team, and client regarding process and status.

Assist in communication with requesters regarding questions and issues.

Perform other duties and special projects as assigned.

EDUCATION/CREDENTIALS:

Associate’s or Bachelor’s Degree preferred.

JOB RELEVANT EXPERIENCE:

Experience in medical peer review or healthcare industry required; healthcare or insurance business experience preferred.

JOB RELATED SKILLS/COMPETENCIES:

Exceptional communication skills, critical thinking, time management, ability to meet deadlines, computer literacy, and typing skills.

WORKING CONDITIONS/PHYSICAL DEMANDS:

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

WORK FROM HOME TECHNICAL REQUIREMENTS:

Must provide and support own internet; uninterrupted connection required.

This description is subject to change.

Join Dane Street and enjoy comprehensive benefits including medical, dental, vision, voluntary life insurance, voluntary benefits, paid time off, 401k with match, Apple equipment, and a media stipend.

ABOUT DANE STREET:

A fast-paced Inc. 500 company processing over 200,000 insurance claims annually for various clients, providing customized IME and Peer Review programs to support claims management.