Utilization Management, Clinical QA SupervisorDane Street • West Palm Beach, Florida, United States
Utilization Management, Clinical QA Supervisor
Dane Street
- West Palm Beach, Florida, United States
- West Palm Beach, Florida, United States
About
Oversight of QA staff
Ensure appropriate QA staff are assigned to each file to designate file handling responsibilities amongst the team.
Supervise the assigned staff and manage the File Review Board to ensure a timely and accurate process of each file.
Provide details of board reviews to managers to ensure efficiency and productivity of staff.
Assist in identifying & correcting staff performance including promotions, discipline, coaching and termination of staff.
Assist in hiring qualified candidates for QA open positions.
Ensure that all QA staff adhere to and meet their specific job duties including but not limited to:
Following up with Physicians for outstanding reports
Reviewing received reports for accuracy
Delivering completed reports back to all applicable parties
Following all client-specific instructions
Actively participate in issue resolution by working with the required QA, physicians, account managers, and/or other related parties.
Ensure referrals meet the client-directed Turn Around Time (TAT).
Act as the liaison between the reviewer, team member and client regarding the process or status of the file.
Other duties & special projects, as assigned and based on business needs.
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Languages
- English
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