Remote Claims Quality Analyst
Dane Street
๐Remote - United States
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Job highlights
Summary
Join our team at Dane Street 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.
Requirements
- An Associateโs Degree or Bachelorโs Degree is preferred
- Business experience in a healthcare and/or insurance setting is preferred
- Operations experience with Peer Review, UR and/or case management. Working with technology based processes within the business environment
- 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
- Ability to handle high volume and meet deadlines
Responsibilities
- 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
- Communicates clearly and concisely between the customer, reviewer, and Operations team
Benefits
- Medical insurance
- Dental insurance
- Vision coverage
- Voluntary life insurance options for you, your spouse, and your children
- Hospital indemnity
- Critical illness
- Accident indemnity
- Pet insurance plans
- Basic life insurance
- Short-term disability coverage
- Long-term disability coverage
- Paid time off policy
- 401k plan with a company match
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