Workers Compensation Quality Assurance (Qa) Specialist

Description

The IMA Group is seeking to hire an experienced Quality Assurance Specialist for the Payer Services Division.

This is a full-time remote position. The position purpose is to assure that all reports and addenda are reviewed for accuracy, completeness and format.

We are not accepting applications from Colorado, Washington or California states at this time.

Key Responsibilities

• Review all IME reports, addenda, peer reviews, functional capacity reports, return to work forms and all other reports generated by our providers to ensure all quality assurance expectations are met.
• Daily monitoring of hearing and report due date calendars in order to ensure all reports with deadlines are released in a timely manner.
• Interact with doctors to ensure all reports are completed in a timely manner and meet quality assurance standards
• Analyze and solve client issues quickly and efficiently in a fast paced environment.
• Provide exceptional customer service and streamlined communication to clients, physicians, attorneys, nurses and injured workers regarding all matters relating to the IME process.
• Process revision and correction requests Keep clients, attorneys, nurses and supervisors updated regularly on report status.

Important Traits And Skills For The Position

• Proofreading and professional writing skills.
• Flexibility and adaptability to carry out a wide range of tasks
• Make timely decisions based on sound logical reasoning.
• Professionalism, respect and willingness to go above and beyond for clients.
• Must have a strong work ethic.
• Strong computer skills
• Keen ability to quickly prioritize various work tasks through the day.
• Be punctual and reliable.
• Efficient and detail oriented
• Sharp analytical and critical thinking skills.
• Value the importance of adhering to strict deadlines on a daily basis.

Education

• Bachelors degree, preferred
• Associates degree, required

Experience

• 1-3 years of related experience in claims management or quality assurance, with a minimum of 1 year experience in workers compensation claims, required.

Annual salary starting at $50,000.00

Benefits

The IMA Group offers a fantastic benefits package which includes Health, Dental and Vision Insurance, Paid Time Off, Paid Holidays, 401k with employer contributions, LTD, Flexible Spending Account, Life Insurance and ADD. We offer a market competitive salary with a flexible schedule and limited weekend hours. Employees will also receive an Annual Performance Review at the end of each calendar year.

EEO

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.