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Quality Assurance Specialist

The IMA Group

United States

Remote

USD 60,000 - 80,000

Part time

24 days ago

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Job summary

An established industry player is looking for a Quality Assurance Specialist to ensure the highest standards in reviewing reports. This remote part-time role involves maintaining accuracy in documentation and providing exceptional customer service. Candidates should have a keen attention to detail and a clinical background is preferred. The position offers a balanced lifestyle with comprehensive health coverage, paid time off, and family support benefits. Join a team dedicated to quality and make a difference in the healthcare sector while enjoying a flexible work environment.

Benefits

Comprehensive Health Coverage
Paid Time Off
Paid Holidays
Floating Holiday
Tuition Assistance
Student Loan Repayment
Family Leave

Qualifications

  • 1-3 years of experience in claims management or quality assurance.
  • Clinical background is highly desired.

Responsibilities

  • Review reports and documentation for accuracy and completeness.
  • Communicate effectively with team members and manage report status.

Skills

Attention to Detail
Communication Skills
Customer Service

Education

Associate Degree
Bachelor's Degree

Tools

Microsoft Word
Microsoft Excel

Job description

Job Summary:

Are you passionate about ensuring accuracy and quality? The IMA Group is seeking a dedicated Quality Assurance Specialist to join our team. This remote role focuses on maintaining the highest standards in reviewing reports and addenda generated by our physician panel.

This position is not considering candidates from New York City, Chicago, California, Colorado, or Washington states at this time.

The hourly rate for this position ranges from $25 to $28, based on experience. This is a part-time/ 30 hours per week position with potential for full time.

Key Responsibilities:

  1. Review IME reports, addenda, peer reviews, and other documentation to ensure accuracy, completeness, and adherence to formatting guidelines.
  2. Address issues in referral letters and ensure all quality assurance expectations are exceeded.
  3. Process revisions, follow up on pending changes, and re-review corrected reports to maintain high-quality standards.
  4. Communicate effectively with team members and supervisors, providing regular updates on report status and managing addendum requests from start to finish.
  5. Monitor deadlines, including urgent client requests, to ensure timely report completion and release.
  6. Deliver exceptional customer service by addressing client issues promptly and streamlining communication with all stakeholders involved in the IME and file review process.

Qualifications:

  1. Associate degree required; Bachelor’s degree preferred. Clinical background highly desired.
  2. 1-3 years of related experience in claims management or quality assurance, with at least 1 year in Disability claims.
  3. Additional experience in Worker’s Compensation is desired.
  4. Must have excellent attention to detail and be able to learn client guidelines thoroughly, while also working on tight turnaround times.
  5. Must be proficient in Microsoft Word. Experience with Microsoft Excel also desired.

Benefits:

  1. Complete Health Coverage: Comprehensive Health, Dental, and Vision Insurance packages to ensure your well-being.
  2. Balanced Lifestyle: Enjoy paid time off, holidays, and a floating holiday to maintain a healthy work-life balance.
  3. Comprehensive Coverage: Benefit from LTD, STD, Flexible Spending Account, Company-paid Life Insurance, and ADD coverage.
  4. Family Support: Embrace paid maternity and paternity leave, reflecting our commitment to supporting families.

*The 401k is available to all employees. Paid Time Off and Paid Holidays are accessible for employees working 20 or more hours per week. The Floating Holiday and Group Benefits (health, dental, vision, STD, LTD, etc.) are provided to employees working 30 or more hours per week. Additionally, Tuition Assistance and Student Loan Repayment benefits are available for full-time employees working 37.5 hours per week.

The IMA Group is an Affirmative Action/Equal Opportunity Employer.

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