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Title

Quality Assurance Specialist (Remote) 

About the Organization For more than 30 years, IMA has been returning people to work and productivity. IMA is a national leader with three fully integrated divisions: Government Services; Payer Services; and IMA Clinical Research. Diversity is a core value of IMA. Diversity enriches all of us by enhancing our ability to identify challenges, and to discover, design, and deliver solutions.



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.







 
Description

The IMA Group is seeking to hire a QA Specialist to join the Orchard Medical Consulting team remotely.

This is a full time remote role.

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

Duties include but are not limited to the following -

  • Act as a liaison between insurance adjuster and provider to resole report conflicts, addendums and clarifications in accordance with NYS WCB Guidelines.
  • Prepare report with appropriate report carbon copies and WCB required headings prior to doctor review/signature.
  • Review reports prior to doctor signature against insurance referral to ensure that all requests are addressed and report is internally consistent with IMA and WCB Guidelines.
  • Follow-up with doctor's for status and signature to ensure that NYS WCB timeframes are met.
  • Review outstanding reports lists, charts pending dictation and charts pending doctor signature again to ensure timeliness in accordance with NYS WCB Guidelines.
  • Resolve any problems with submission or reports to insurance carrier.
  • Perform other related duties as assigned.
  • Work overtime as required.

EDUCATION

  • Required High school or GED equivalent.
  • Preferred Background in medical terminology. Two-year college or business school program related to medical or legal field. LPN Preferrable.

EXPERIENCE

  • Required Background in medical terminology and report processing.
  • Preferred Two years experience with in claims environment as LPN. Experience in Workers' Compensation, No-Fault, Claims or Disability insurance.

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.

 
Location Remote  
Full-Time/Part-Time Full-Time  
EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, creed, color, religion, sex, national origin, disability status, marital or family status, protected veteran status or any other characteristic protected by law.  
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.

 


This position is currently not accepting applications.

To search for an open position, please go to http://PayerServices.appone.com



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