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NSA Medical QA Specialist

3 months, 2 weeks ago
United States
Full-time
Mid Level
Manual QA Tester
Quality Assurance and Testing
Apply Now
Dane Street

Dane Street

Dane Street provides independent medical examination and peer review services tailored for the insurance industry, focusing on areas such as workers' compensation, disability, and auto liability, while emphasizing quality, compliance, and timely delive...

Insurance
251-1K
Founded 2008
View All Jobs 34

Description

  • Provide regular report status updates to clients and coordinate report delivery requirements.
  • Review physician reports for completeness, data accuracy, grammar, spelling, punctuation, and clinical support.
  • Evaluate reports against client, jurisdictional, and state standards, including format and special handling instructions.
  • Clarify ambiguous questions, missing information, and addendum requests with clients and physicians.
  • Work directly with physicians and office staff to resolve questions and secure report approval and signatures.
  • Conduct follow-up to support on-time report delivery and timely completion of reviewer reports.
  • Provide verbal or written feedback and clarification requests to physicians regarding report quality.
  • Serve as a liaison on quality issues and new reviewer reports with the VP of Clinical Operations.
  • May oversee team members and approve cases for release to the client.
  • Participate in process improvement efforts to improve turnaround time, reduce clarification returns, and increase client satisfaction.

Requirements

  • Associate’s degree or Bachelor’s degree preferred.
  • Business experience in a healthcare and/or insurance setting preferred.
  • 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 are essential.
  • Ability to perform long periods of sitting and computer work.
  • Ability to supply and support your own internet service for a work-from-home role.
  • Maintaining an uninterrupted internet connection is required for all work-from-home positions.

Benefits

  • Medical, dental, and vision coverage for employees and their families.
  • Voluntary life insurance options for employees, spouses, and children.
  • Additional voluntary benefits including hospital indemnity, critical illness, accident indemnity, and pet insurance.
  • Basic life insurance, short-term disability, and long-term disability coverage at no cost.
  • Generous paid time off policy.
  • 401(k) plan with company match.
  • Apple equipment and a media stipend for remote workspace.

Interested in this position?

Apply directly on the company website

Apply Now

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