Job Description

Be among the first 25 applicants Job Summary The Quality Analyst is responsible for managing the various aspects of the medical file review process. They will review completed referrals to ensure client questions have been addressed appropriately and review completed reports for accuracy, ensuring client and department standards have been met. Dane Street’s success relies on individual and team contributions every day. We care for our customers, each other and Dane Street. It is the responsibility of all of us to maintain a positive working environment that promotes client satisfaction and results. Major Duties & Responsibilities Review reports accompanying medical records to ensure that the report is complete and that all questions posed by the client have been addressed. Follow up with the reviewer with any additional questions or clarification needs. Follow up with the client if there are any additional questions. Update clients frequently on referral progress. Ensure the report is grammatically correct with no spelling errors. Ensure each referral adheres to the QA checklist prior to completion. Format reports for approval. Communicate clearly and concisely between the customer, reviewer, and Operations team. Confidently speak with physicians and clients regarding the content of their peer reviews. Other duties & special projects, as assigned and based on business needs. Requirements Education/Credentials: An Associate’s Degree or Bachelor’s Degree is preferred. Job Relevant Experience: Business experience in a healthcare and/or insurance setting is preferred. Experience working with technology-based processes within a business environment. Job Related Skills/Competencies: 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. Working Conditions/Physical Demands: Any lifting, bending, traveling, etc. required to do the job duties listed above. Long periods of sitting and computer work. Work From Home Technical Requirements: Supply and support their own internet services. Maintaining an uninterrupted internet connection is a requirement of all work from home positions. Benefits Join our team at Dane Street and enjoy a comprehensive benefits package designed to support your well-being and peace of mind. We offer a range of benefits including medical, dental, and vision coverage for you and your family. Additionally, we offer voluntary life insurance options for you, your spouse, and your children. We also offer other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans. Employees receive basic life insurance, short-term disability, and long-term disability coverage at no cost. Our generous paid time off policy ensures you have time to relax and recharge. Our 401k plan with a company match helps you plan for your future. Apple equipment and a media stipend are provided for remote workspace. About Dane Street A fast-paced, Inc. 500 Company with a high-performance culture, Dane Street processes over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We provide customized Independent Medical Exams and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process. #J-18808-Ljbffr Dane Street

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