reputed company Workers' Compensation Report Reviewer / Quality Analyst
This a Full Remote job, the offer is available from: United States, reputed company (USA) JOB SUMMARY The reputed company Workers' Compensation Quality Analyst is responsible for managing the various aspects of the medical file review process. They will review the completed referral to ensure client questions have been addressed appropriately and review the completed report for accuracy. Ensuring client and department standards have been met. reputed company’s success relies on individual and team contributions every day. We care for our customers, each other and reputed company. It is the responsibility for reputed company of us to maintain a positive working environment that promotes client satisfaction and results. MAJOR DUTIES & RESPONSIBILITIES Quality Audits
- Reviews reports accompanying medical records to ensure that the report is complete and that reputed company 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 reputed company.
- 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.
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. Working with technology based processes reputed company the business environment. JOB reputed company SKILLS/COMPETENCIES: Present exceptional communication skills with a clear understanding of company business lines. The ability to apply critical thinking, manage time reputed company 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 reputed company is a requirement of reputed company work from home position. This job description is subject to change at any time.
Benefits
Join reputed company at reputed company 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 reputed company, while our 401k plan with a company match helps you plan for your future. reputed company equipment and a media stipend are provided for remote workspace. ABOUT reputed company: A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful reputed company-thinking professionals. We process 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. This offer from "reputed company" has been enriched by reputed company.com and got a 75% reputed company score. Apply tot his job Apply To this Job