Dane Street ยท 15 hours ago
QA Supervisor - LPN
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Responsibilities
Oversight of QA staff
Ensure appropriate QA staff are assigned to each file to designate file handling responsibilities amongst the team
Supervise the assigned staff and manage the File Review Board to ensure a timely and accurate process of each file.
Provide details of board reviews to managers to ensure efficiency and productivity of staff
Assist in identifying & correcting staff performance including promotions, discipline, coaching and termination of staff.
Assist in hiring qualified candidates for QA open positions
Ensure that all QA staff adhere to and meet their specific job duties including but not limited to:
Following up with Physicians for outstanding reports
Reviewing received reports for accuracy
Delivering completed reports back to all applicable parties
Following all client-specific instructions
Actively participate in issue resolution by working with the required QA, physicians, account managers, and/or other related parties.
Follow up with physicians with any additional questions or need for further clarification and Client outreach to advise of delays for status updates
Ensure referrals meet the client-directed Turn Around Time (TAT)
Ensure correct Doctor Payment amount and Client Invoice amount upon approval of referrals
Review reports accompanying medical records to ensure that the report is complete, that all questions posed have been addressed and that the report is free of errors
Assist management team with intake completion
Act as the liaison between the reviewer, team member and client regarding the process or status of the file
Assist in communications with the requester regarding questions and issues
Other duties & special projects, as assigned and based on business needs.
Qualification
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Required
Medical peer review or healthcare industry knowledge required.
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.
Preferred
An Associate's Degree or Bachelor's Degree is preferred.
Business experience in a healthcare and/or insurance setting is preferred.
Benefits
Medical, dental, and vision coverage for you and your family
Voluntary life insurance options for you, your spouse, and your children
Hospital indemnity
Critical illness
Accident indemnity
Pet insurance plans
Basic life insurance
Short-term disability
Long-term disability coverage at no cost
Generous paid time off policy
401k plan with a company match
Apple equipment and a media stipend
Company
Dane Street
Dane Street is an insurance company that offers review and evaluation services for workers compensation, health, and to some businesses.