- Communicate with customers, reviewers, physicians, office staff, and management to ensure completed reports are delivered by customer-requested due dates
- Complete and ensure the overall completeness and clinical accuracy of physician reports
- Provide regular report status updates to clients
- Evaluate reports against client and jurisdictional standards
- Ensure clinical rationale supports physician determinations
- Clarify ambiguous report questions with clients
- Distribute final reports according to client-specific requirements
- Coordinate clarification and addendum requests
- Participate in client phone calls or meetings when reports are in question
- Follow up on missing referral information
- Work with physicians to answer client questions and support clinical rationale
- Follow up with physicians or office staff to ensure on-time report delivery
- Provide verbal or written feedback and clarification requests to physicians
- Obtain physician approval, confirmation, and signature for final reports
- Review reports for data accuracy, spelling, grammar, and punctuation
- Ensure state reporting requirements and client-specific formats are met
- Follow client special handling instructions for report completion and delivery
- Provide oversight to team members when needed
- Improve processes to enhance turnaround time, peer-to-peer success rates, and client satisfaction
- Provide final approval for case release to clients
- Coordinate quality issue reports and new reviewer reports with the VP of Clinical Operations
- Perform other duties and special projects as assigned
Requirements
- LPN or RN license required
- Associate’s or Bachelor’s Degree preferred
- Business experience in a healthcare and/or insurance setting preferred
- Exceptional communication skills
- Clear understanding of company business lines
- Ability to apply critical thinking
- Ability to manage time efficiently and meet specific deadlines
- Computer literacy and typing skills
- Supply and support own internet services
- Maintain an uninterrupted internet connection for work from home
- Ability to perform required lifting, bending, traveling, and extended sitting/computer work
Core Competencies
Demonstrates expertise in clinical report accuracy and compliance with jurisdictional standards, while effectively communicating with clients and healthcare professionals. Proficient in managing report delivery timelines and enhancing client satisfaction through process improvements.
Highest-signal resume keywords
- LPN License
- RN License
- Clinical Report Review
- Exceptional Communication Skills
- Critical Thinking
Hard Skills
- Clinical Accuracy
- Report Evaluation
- Data Accuracy Review
- Typing Skills
- Time Management
Soft Skills
- Communication
- Problem-Solving
- Team Oversight
Certifications & Qualifications
- LPN License
- RN License
Industry Keywords
- Healthcare
- Insurance
- Client Satisfaction
- Report Delivery
- Business Lines
Tools & Technologies
- Internet Services
- Computer Literacy
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Group Health Quality Analyst 1 – Weekend Arbeitgeber: Jobtailor
Als Front Office Supervisor in unserem dynamischen Team bieten wir Ihnen die Möglichkeit, in einem unterstützenden und freundlichen Arbeitsumfeld zu wachsen. Wir legen großen Wert auf die berufliche Entwicklung unserer Mitarbeiter und bieten regelmäßige Schulungen sowie die Chance, Verantwortung zu übernehmen. Unsere Lage ermöglicht es Ihnen, Teil einer lebendigen Gemeinschaft zu sein, während Sie gleichzeitig die Standards unseres Franchise-Partners einhalten und unseren Gästen einen unvergesslichen Aufenthalt bieten.
