Remote Claims Quality Analyst

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 Associate’s Degree or Bachelor’s 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