Physician Advisory Services QA Specialist
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Job Description
QA Specialist reviewing physician reports for Dane Street’s independent medical exams and peer-review insurance programs. Ensuring clinical accuracy, client compliance, timely delivery, and final case approval.
Responsibilities:
- Provide regular report status updates to clients
- Evaluate physician reports for quality, client requirements, jurisdictional standards, and clinical rationale
- Clarify ambiguous report questions with clients
- Distribute final reports according to client-specific requirements
- Coordinate clarification and addendum requests
- Participate in client calls or meetings when reports are in question
- Follow up with clients for missing referral information
- Work directly with physicians to ensure client questions are answered with clinical rationale
- Follow up with physicians or office staff to ensure on-time report delivery
- Provide verbal or written feedback and clarification requests to physicians
- Obtain physician approval and signature for final reports
- Review reports for data accuracy, spelling, grammar, and punctuation
- Ensure state reporting requirements and client-specific formatting requirements are met
- Ensure special handling instructions for report completion and delivery are followed
- Provide oversight to team members when needed
- Improve processes to support turnaround time, peer-to-peer success rates, and client satisfaction
- Provide final approval for case release to clients
- Liaise with the VP of Clinical Operations on quality issue reports and new reviewer reports
- Perform other duties and special projects as assigned
Requirements:
- Associate’s Degree or Bachelor’s Degree preferred
- Business experience in a healthcare and/or insurance setting preferred
- Exceptional communication skills
- Clear understanding of company business lines
- Ability to apply critical thinking
- Ability to manage time efficiently and meet specific deadlines
- Computer literacy and typing skills
- Ability to supply and support personal internet services
- Uninterrupted internet connection required for work from home
- Ability to perform required lifting, bending, traveling, prolonged sitting, and computer work
Benefits:
- Medical, dental, and vision coverage for employees and their families
- Voluntary life insurance for employees, spouses, and children
- Voluntary hospital indemnity, critical illness, accident indemnity, and pet insurance plans
- Basic life insurance at no cost
- Short-term disability coverage at no cost
- Long-term disability coverage at no cost
- Generous paid time off
- 401k plan with company match
- Apple equipment for remote workspace
- Media stipend for remote workspace
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