QA Supervisor - RN

Summary

Join our team as a QA Supervisor and oversee the review of physician reports and medical records, ensuring accuracy and consistency. Supervise and manage a team of QA staff, assigning tasks and ensuring timely completion of reviews. Provide performance feedback, assist in hiring, and actively participate in issue resolution. Maintain client relationships and ensure adherence to deadlines. The role requires RN licensure and medical peer review or healthcare industry knowledge. We offer a comprehensive benefits package including medical, dental, vision, life insurance, paid time off, a 401k plan, and more.

Requirements

• RN licensure 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

Responsibilities

• Oversee the review of Physician reports and accompanying medical records to ensure that the report is complete, accurate, and consistent with medical evidence
• 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
• Ensure referrals meet the client-directed Turn Around Time (TAT)
• Act as the liaison between the reviewer, team member and client regarding the process  or status of the file
• 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
• Our generous paid time off policy ensures you have time to relax and recharge
• 401k plan with a company match helps you plan for your future
• Apple equipment and a media stipend are provided for remote workspace