[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