My client, a reputable healthcare company, is hiring for a remote Clinical QA Analyst! Job Description: Their process includes the following:
+ Double Checking to verify what was processed.
+ Were certain surgeons and specialties used? Was State Insurance used? Were these correct?
+ Identifying if what was asked by the clients met in their visits? Nothing more or less. If they were supposed to get a certain service, verify it was met up to the T.
+ Did these services meet their policies and criteria? Was the service necessary and required?
+ This person will take the answers to these questions, and then provide the answers and updates to their client.
+ They will make sure that the report being sent over is written up well, grammatically correct, and double check that the clinical information and explanation makes sense.
+ They will be providing phone call and email communication to their clients about these results....