Liability Specialist

Position Overview

• Location Type: Remote
• Job Type: Not specified
• Salary: Not specified

The Liability Specialist is responsible for managing the various aspects of the medical file review and scheduling process. They will review the completed referral to ensure client questions have been addressed appropriately and review the completed report for accuracy, ensuring client and department standards have been met. This role requires specialized knowledge of liability IME and independently manages all operations of the liability IME process. Dane Street’s success relies on individual and team contributions every day. We care for our customers, each other, and Dane Street. It is the responsibility for all of us to maintain a positive working environment that promotes client satisfaction and results.

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 working with technology based processes within the business environment.

Responsibilities

• Handling Receipt of New Cases:
  • Intake new cases and review/verify information and requests.
  • Draft cases by entering information into the Dane Street system, AccessDS.
  • Work with the client on any information missing that is pertinent to processing the claim.
  • Sort, organize, and create a medical document listing if required by the client and in accordance with specific special handling.
• Assignment of Cases:
  • Assign/schedule new cases to physicians for review with the appropriate physician based on location, reviewer availability, specific guidelines, jurisdictional requirements, and other client requirements.
  • Ensure that the assigned physician has no conflict of interest with the case assignment.
• Oversight of Cases:
  • Monitor, process, and track cases to ensure we meet deadlines.
  • Quality Audits: Review reports accompanying medical records to ensure that the report is complete and that all questions posed by the client have been addressed.
  • Follow up with the reviewer with any additional questions or clarification needs.
  • Follow 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.
  • Format reports for approval.
• Communication:
  • Communicate clearly and concisely between the customer, reviewer, and Operations team.
  • Must confidently speak with physicians and clients regarding the content of their IME/record reviews.
  • Update clients frequently on cases in progress.
  • May communicate when there are questions on referral information to ensure proper documentation and information is provided to the assigned reviewer.
  • Ensure proper documentation for specified cases is provided to the client.
• Other Duties:
  • Other duties & special projects, as assigned and based on business needs.

Application Instructions

• Not specified

Company Information

• Dane Street’s success relies on individual and team contributions every day.
• We care for our customers, each other, and Dane Street.