[Remote] Peer/Record Review Quality Analyst
Note: The job is a remote job and is open to candidates in USA. Dane Street is a fast-paced, Inc. 500 Company that processes over 200,000 insurance claims annually. They are seeking a Peer/Record Review Quality Analyst responsible for managing the medical file review process, ensuring client questions are addressed, and reports are accurate and compliant with quality standards.
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 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
- Communication 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
- An Associate's Degree or Bachelor's Degree
- Business experience in a healthcare and/or insurance setting
- Working with technology based processes within the business environment
- Exceptional communication skills with a clear understanding of company business lines
- Ability to apply critical thinking, manage time efficiently and meet specific deadlines
- Computer literacy and typing skills
- Maintaining an uninterrupted internet connection for work from home position
Benefits
- Medical, dental, and vision coverage for you and your family
- Voluntary life insurance options for you, your spouse, and your children
- Other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans
- Basic life insurance, short-term disability, and long-term disability coverage at no cost
- Generous paid time off policy
- 401k plan with a company match
- Apple equipment and a media stipend are provided for remote workspace
Company Overview