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
Dane Street is an insurance company that offers review and evaluation services for workers compensation, health, and to some businesses. It was founded in 2008, and is headquartered in Boston, Massachusetts, USA, with a workforce of 201-500 employees. Its website is https://site.danestreet.com.