Remote Quality Analyst – Medical Claims Review

Dane Street; Washington (District of Columbia); Remote; USD 60,000 - 90,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision coverage

Life insurance

Long-term disability coverage

401k with company match

Paid time off

Remote workspace stipend

Apple equipment

Job summary

Dane Street is seeking a Quality Analyst to manage medical file reviews, ensure client questions are answered, and verify report accuracy. The role emphasizes adherence to department standards and clear communication with clients, reviewers, and operations.

Preferred candidates may be in the PST time zone or able to work remotely. The position involves audits, QA checks, and ongoing updates to clients regarding referral progress while maintaining high-quality documentation and timely delivery.

Qualifications

• An Associate’s Degree or Bachelor’s Degree is preferred.
• Business experience in a healthcare and/or insurance setting is preferred.
• Working with technology based processes within the business environment.
• Present exceptional communication skills with a clear understanding of company business lines. The ability to apply critical thinking, manage time efficiently and meet specific deadlines. Computer literacy and typing skills are essential.

Responsibilities

• 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 needs.
• 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 the completion.
• Formats reports for approval.
• Communicates clearly and concisely between the customer, reviewer, and Operations team
• Must confidently speak with physicians and clients regarding the content of their peer reviews.
• Other duties & special projects, as assigned and based on business needs.

Skills

Communication skills

Critical thinking

Time management

Typing skills

Computer literacy

Education

Associate’s/Bachelor’s degree

Job description

Dane Street is seeking a Quality Analyst to manage medical file reviews, ensure client questions are answered, and verify report accuracy. The role emphasizes adherence to department standards and clear communication with clients, reviewers, and operations.

Preferred candidates may be in the PST time zone or able to work remotely. The position involves audits, QA checks, and ongoing updates to clients regarding referral progress while maintaining high-quality documentation and timely delivery.