Quality Assurance Specialist

Remote: 
Full Remote
Contract: 
Work from: 

Offer summary

Qualifications:

Associate degree required; Bachelor’s degree preferred., 1-3 years of related experience in claims management or quality assurance, with at least 1 year in Disability claims., Excellent attention to detail and ability to learn client guidelines thoroughly., Proficient in Microsoft Word, with experience in Microsoft Excel desired..

Key responsabilities:

  • Review IME reports, addenda, and peer reviews for accuracy and adherence to guidelines.
  • Address issues in referral letters and exceed quality assurance expectations.
  • Process revisions and follow up on pending changes to maintain high-quality standards.
  • Communicate effectively with team members and manage addendum requests from start to finish.

The IMA Group logo
The IMA Group SME https://www.theimagroup.com/
1001 - 5000 Employees
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Job description

Description

Job Summary:
Are you passionate about ensuring accuracy and quality? The IMA Group is seeking a dedicated Quality Assurance Specialist to join our team. This remote role focuses on maintaining the highest standards in reviewing reports and addenda generated by our physician panel.
 
This position is not considering candidates from New York City, Chicago, California, Colorado, or Washington states at this time. 
 
The hourly rate for this position ranges from $25 to $28, based on experience.  This is a part-time/ 30 hours per week position with potential for full time.
 
Key Responsibilities:
•    Review IME reports, addenda, peer reviews, and other documentation to ensure accuracy, completeness, and adherence to formatting guidelines.
•    Address issues in referral letters and ensure all quality assurance expectations are exceeded.
•    Process revisions, follow up on pending changes, and re-review corrected reports to maintain high-quality standards.
•    Communicate effectively with team members and supervisors, providing regular updates on report status and managing addendum requests from start to finish.
•    Monitor deadlines, including urgent client requests, to ensure timely report completion and release.
•    Deliver exceptional customer service by addressing client issues promptly and streamlining communication with all stakeholders involved in the IME and file review process.
Qualifications:
•    Associate degree required; Bachelor’s degree preferred. Clinical background highly desired.
•    1-3 years of related experience in claims management or quality assurance, with at least 1 year in Disability claims.
•    Additional experience in Worker’s Compensation is desired.
•    Must have excellent attention to detail and be able to learn client guidelines thoroughly, while also working on tight turnaround times.
•    Must be proficient in Microsoft Word.  Experience with Microsoft Excel also desired. 
 
Benefits:  
•    Complete Health Coverage: Comprehensive Health, Dental, and Vision Insurance packages to ensure your well-being.
•    Balanced Lifestyle: Enjoy paid time off, holidays, and a floating holiday to maintain a healthy work-life balance.
•    Comprehensive Coverage: Benefit from LTD, STD, Flexible Spending Account, Company-paid Life Insurance, and ADD coverage.
•    Family Support: Embrace paid maternity and paternity leave, reflecting our commitment to supporting families.

*The 401k is available to all employees. Paid Time Off and Paid Holidays are accessible for employees working 20 or more hours per week. The Floating Holiday and Group Benefits (health, dental, vision, STD, LTD, etc.) are provided to employees working 30 or more hours per week. Additionally, Tuition Assistance and Student Loan Repayment benefits are available for full-time employees working 37.5 hours per week.  
 
The IMA Group is an Affirmative Action/Equal Opportunity Employer
Our Government Services Division supports local, state, and federal agencies and delivers professional and objective medical and psychological examinations as well as ancillary services. Our Payer Services Division meets the evaluation and screening needs of Carriers, TPAs, Public Entities and Employers and includes behavioral health and physical medicine specialty services, working with a wide range of organizations within the workers' compensation, disability, liability, and auto markets. Our Clinical Research Division performs all types of Phase II-IV clinical trials in multiple therapeutic areas through a flexible nationwide network of site locations and virtual capabilities.    
#LI-JB1 
#LI-REMOTE 

Required profile

Experience

Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Microsoft Word
  • Detail Oriented
  • Quality Assurance
  • Customer Service
  • Microsoft Excel
  • Time Management
  • Communication

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