Physician Advisory Services QA Specialist

Position Overview

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

The QA Specialist plays an integral role in the review process, responsible for communicating with the customer, reviewer, and management to ensure a completed report is delivered by the customer requested due date. This role focuses on the timely completion and overall completeness of a reviewer report, determined by customer requirements, company best practices, and clinical accuracy. The QA Specialist also participates in improving DS processes and works with the Manager to ensure high efficiencies are achieved.

Requirements

• Education/Credentials: An Associate’s Degree or Bachelor’s Degree is preferred.
• Job Relevant Experience: Business experience in a healthcare and/or insurance setting is preferred.
• Job Related Skills/Competencies:
  • Exceptional communication skills with a clear understanding of company business lines.
  • Ability to apply critical thinking and manage time efficiently.
  • Ability to meet specific deadlines.
  • Computer literacy and typing skills are essential.

Responsibilities

• Client Interaction:
  • Provides regular report status updates to the client.
  • Evaluates the Quality of physician’s report and determines if the report will meet all client and jurisdictional standards.
  • Clarifies ambiguous report questions with clients.
  • Distributes final report back to client according to client specific requirements.
  • Receives, coordinates & executes all aspects of clarification & addendum requests from the client.
  • Participates in phone calls or meetings with client(s) when a report is in question.
  • Follows up with the client for any missing information pertinent to the referral.
  • Works directly with physicians to ensure that all client questions are answered and supported by clinical rationale.
  • Conducts regular follow-up with the physician or their office staff to ensure an on-time delivery of the report.
  • Composes and provides verbal or written feedback to the doctor regarding report quality.
  • Composes and provides verbal or written requests to the physician or their office staff for clarifications.
  • Receives written or verbal confirmation from the physician that a report has the doctor’s approval and ensures the doctor provides his/her signature for the final report.
• Report Analysis:
  • Reviews each physician report for data accuracy, including spelling, grammar, & punctuation.
  • Ensures that all state requirements for reporting are met.
  • Ensures that all client special handling instructions with regard to report completion and delivery are met.
• Additional Duties:
  • Provides oversight to the work of the team members.
  • Continuously improves processes to facilitate better turnaround time, peer to peer success rates, and lessens returned reports by clients for clarification purposes, ultimately resulting in higher client satisfaction.
  • Acts as a liaison and coordinates quality issue reports along with all new reviewer reports with the VP of Clinical Operations.
  • Responsible for the final approval on cases for release to the client.
  • Performs other duties and special projects as assigned and based on business needs.

Application Instructions

• Not specified

Company Information

• Company Name: Dane Street
• Company Culture: Cares for customers, each other, and Dane Street. Maintains a positive working environment that promotes client satisfaction and results.