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

• Supervise QA personnel

• Ensure suitable QA team members are allocated to each file to assign file handling duties among the team

• Oversee the designated staff and manage the File Review Board to guarantee a prompt and precise review process for each file

• Provide managers with insights from board reviews to enhance staff efficiency and productivity

• Assist in recognizing and addressing staff performance issues, including promotions, disciplinary actions, coaching, and terminations

• Aid in the recruitment of qualified candidates for open QA positions

• Ensure all QA personnel comply with and fulfill their specific job responsibilities

• Follow up with physicians regarding outstanding reports

• Review incoming reports for accuracy

• Return completed reports to all relevant parties

• Adhere to all client-specific instructions

• Actively engage in issue resolution by collaborating with necessary QA professionals, physicians, account managers, and other pertinent parties

• Follow up with physicians for any additional inquiries or clarification needed

• Ensure referrals align with the client-directed Turn Around Time (TAT)

• Verify correct Doctor Payment amounts and Client Invoice amounts upon referral approvals

• Review reports that accompany medical records to confirm completeness, address all posed questions, and ensure the report is error-free

• Support the management team with intake completion

• Serve as the liaison between the reviewer, team member, and client concerning the process or status of the file

• Assist in communication with the requester regarding questions and issues

• Other duties and special projects as assigned based on business needs

• An Associate’s Degree or Bachelor’s Degree is preferred

• Required knowledge in medical peer review or the healthcare industry

• Preferable business experience in a healthcare and/or insurance environment

• Exhibit exceptional communication skills with a clear understanding of company business lines

• Ability to utilize critical thinking, manage time effectively, and meet specific deadlines

• Essential computer literacy and typing skills

• Medical, dental, and vision coverage for you and your family

• Voluntary life insurance options for you, your spouse, and your children

• Hospital indemnity, critical illness, accident indemnity, and pet insurance plans

• Basic life insurance, short-term disability, and long-term disability coverage at no cost

• Generous paid time off policy

• 401k plan with a company match

• Apple equipment and a media stipend for remote workspace

QA Supervisor

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