Job Summary
A company is looking for a Quality Analyst to manage the medical file review process.
Key Responsibilities
- Review reports and medical records to ensure completeness and accuracy
- Communicate with clients and reviewers for clarifications and updates on referral progress
- Ensure adherence to quality assurance checklists and format reports for approval
Required Qualifications
- Preferred Associate's Degree or Bachelor's Degree
- Experience in a healthcare and/or insurance setting is preferred
- NY Workers Compensation experience is preferred
- Operations experience with Peer Review, UR, and/or case management
- Familiarity with technology-based processes in a business environment
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