QA Supervisor, LPN

Summary

Join Dane Street's team as a QA Supervisor and oversee the review of physician reports and medical records, ensuring accuracy and completeness. You will supervise QA staff, manage the File Review Board, and ensure timely processing of files. Responsibilities include staff performance management, hiring, and issue resolution. You will also maintain communication with physicians, clients, and other stakeholders. The ideal candidate possesses medical peer review or healthcare industry knowledge and exceptional communication skills. Dane Street offers a comprehensive benefits package including medical, dental, vision, life insurance, paid time off, a 401k plan, and more.

Requirements

• 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
• Supply and support their own internet services
• Maintaining an uninterrupted internet connection is a requirement of all work from home position

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

Preferred Qualifications

• 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
• 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
• Paid time off
• 401k plan with a company match
• Apple equipment and a media stipend are provided for remote workspace