Peer QA Supervisor

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee the Medical File Review process, which includes managing intake, turnaround times, quality assurance, supervision, and direct oversight of Quality Assurance teams.

• Supervise designated staff and manage CSR and QA Boards to ensure timely and accurate file processing.

• Conduct daily audits of staff performance while providing coaching and training as needed.

• Report board-review findings to management related to staff effectiveness and productivity.

• Identify and address any performance issues among staff members.

• Ensure that referrals adhere to client-directed turnaround times.

• Assist management with completing intake processes, scheduling depositions, and coordination efforts.

• Train the QA team and establish workflows designed to enhance client experience.

• Conduct monthly performance evaluations with direct reports.

• Assign the appropriate QA personnel to files and designate responsibilities for file handling.

• Ensure staff follow up with physicians, review reports for accuracy, deliver completed reports, and adhere to client-specific instructions.

• Resolve issues involving QA staff, physicians, Account Managers, and other stakeholders.

• Follow up with physicians for clarifications and communicate any delays to clients.

• Ensure accurate payments to doctors and correct invoice amounts for clients after referral approval.

• Assist in quality assurance and approvals of reports.

• Track metrics related to quality, productivity, turnaround times, and outstanding medical review files.

• Monitor team performance and provide regular updates to management.

• Identify and implement improvements in workflow processes.

⛳️ Requirements

• Preferred: Associate’s Degree.

• Exceptional skills in written and verbal communication, professional judgment, discretion, relationship-building, and conflict resolution.

• Strong critical thinking abilities and independent case assessment skills.

• Capability to interpret complex instructions, identify risks, and determine suitable escalation paths.

• Excellent organizational, prioritization, time management, and follow-through skills in a high-volume, deadline-driven environment.

• Working knowledge of clinical and legal review workflows, expert credentials, report quality expectations, and company service lines.

• Ability to coordinate effectively with clients, physicians, attorneys, adjusters, Sales, Operations, Management, and Finance.

• Proficiency in computer use and typing skills.

• Ability to learn and maintain accurate records within company systems.

• Leadership experience is essential.

• Business experience in a healthcare and/or insurance environment is preferred.

• 2–4+ years of experience in customer service, account management, customer success, insurance operations, healthcare operations, or another client-facing operational environment.

• Availability outside of standard business hours may be required for same-day or 24-hour requests and testimony-related matters.

• Must provide and support own internet services.

• An uninterrupted internet connection is required for this work-from-home position.

🏝️ Benefits

• Medical, dental, and vision insurance coverage for employees and their families.

• Voluntary life insurance options available for employees, spouses, and children.

• Voluntary plans for hospital indemnity, critical illness, accident indemnity, and pet insurance.

• Basic life insurance provided at no cost.

• Short-term and long-term disability coverage at no cost.

• Generous paid time off policy.

• 401(k) plan with a company match.

• Apple equipment provided for remote workspace.

• Media stipend for remote workspace expenses.

• Collaborative remote work culture.

• Opportunities for professional growth.

• Engaging work that supports the healthcare industry.

• Comprehensive benefits package.

• Commitment to employee development.