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IME Supervisor
IME SupervisorDane Street, LLC • US
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IME Supervisor

IME Supervisor

Dane Street, LLC • US
30+ days ago
Job type
  • Full-time
  • Remote
  • Quick Apply
Job description

JOB SUMMARY

The Operations Supervisor is responsible for managing the various aspects of the Independent Medical Exam or Medical File Review process, specifically the intake, turn-around time and the supervision of the Customer Service Representative and Quality Assurance teams.

Dane Street’s success relies on individual and team contributions every day. We care for our customers, each other, and Dane Street. It is the responsibility for all of us to maintain a positive working environment that promotes client satisfaction and results.

MAJOR DUTIES & RESPONSIBILITIES

Main Duties :

  • Supervise the assigned staff and oversee the CSR and QA Boards to ensure a timely and accurate process of each file.
  • Conduct daily audits on staff to ensure that goals are met, and coaching / training is provided when required.
  • Provide details of board reviews to the manager to ensure the efficiency and productivity of staff.
  • Assist in identifying & correcting staff performance
  • Ensure referrals meet the client-directed Turn Around Time (TAT).
  • Assist management team with ensuring intake completion
  • Assist management team with scheduling and coordinating depositions
  • Other duties & special projects, as assigned and based on business needs.

Oversight of CSR Case Handling

  • Ensure cases are properly notated, with timely outreaches to doctors and updates to clients.
  • Ensure CSRs select the best-priced options with good quality and reasonable distance to claimants.
  • Provide guidance on cases where there are questions on scheduling and process handling.
  • Provide guidance and resolution to issues brought to the attention of the supervisor.
  • Ensure staff is adhering to client instructions and specific service level agreement requirements throughout the file handling process.
  • Assisting with referral scheduling as needed.
  • Oversight of QA Case Handling :

  • Ensure appropriate QA staff are assigned to each file to designate file handling responsibilities amongst the team.
  • 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
  • Follow up with physicians with any additional questions or need for further clarification and Client outreach to advise of delays for status updates.
  • Ensure correct Doctor Payment amount and Client Invoice amount upon approval of referrals.
  • Assisting with report QAs and Approvals as needed
  • Requirements

    EDUCATION / CREDENTIALS :

    An Associate’s Degree or Bachelor’s Degree is preferred.

    JOB RELEVANT EXPERIENCE :

    Medical peer review or healthcare industry knowledge required.

    Business experience in a healthcare and / or insurance setting is preferred.

    JOB-RELATED SKILLS / COMPETENCIES :

    Present exceptional communication skills with a clear understanding of company business lines.  The ability to apply critical thinking, manage time efficiently and meet specific deadlines.  Computer literacy and typing skills are essential.

    WORKING CONDITIONS / PHYSICAL DEMANDS :

    Any lifting, bending, traveling, etc. required to do the job duties listed above.  Long periods of sitting and computer work.

    WORK FROM HOME TECHNICAL REQUIREMENTS :

    Supply and support their own internet services.

    Maintaining an uninterrupted internet connection is a requirement of all work-from-home positions.

    This job description is subject to change at any time.

    Benefits

    Join our team at Dane Street and enjoy a comprehensive benefits package designed to support your well-being and peace of mind. We offer a range of benefits including medical, dental, and vision coverage for you and your family. Additionally, we offer voluntary life insurance options for you, your spouse, and your children. We also offer other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans. Employees receive basic life insurance, short-term disability, and long-term disability coverage at no cost. Our generous paid time off policy ensures you have time to relax and recharge, while our 401k plan with a company match helps you plan for your future. Apple equipment and a media stipend are provided for remote workspace.

    ABOUT DANE STREET :

    A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We provide customized Independent Medical Exams and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.

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