Ethos

QA Specialist

Ethos  •  $58k/yr  •  Dallas, TX (Remote)  •  4 months ago
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Job Description

ABOUT US:

Ethos Risk Services is a leading insurance claims investigation and medical management company committed to providing better data that translates into better decision-making for our clients. We are at the forefront of innovation in our space, and our success is driven by a dynamic team passionate about delivering exceptional services to our customers.

Our dynamic Ethos Medical Management Team is growing and seeking a full-time IME Quality Assurance Specialist (REMOTE) to join our growing IME Division. In this role, you will review physician medical reports to ensure accuracy, completeness, and compliance with client requirements and state statutes. This is a non-clinical, remote position that plays a critical role in supporting our clients' business operations.

As a QA Specialist, your work directly impacts report quality, client satisfaction, and financial outcomes. You will exercise independent judgment, maintain strict confidentiality, and serve as a trusted advisor by ensuring physician reports meet the highest quality standards.

KEY RESPONSIBILITIES:

  • Conduct quality assurance reviews of physician medical reports in a fast-paced environment.
  • Identify errors, inconsistencies, and missing information and submit correction or clarification requests to physicians.
  • Release completed physician reports to clients and all required parties.
  • Provide high-level customer service, including regular status updates to clients.
  • Perform administrative duties such as report follow-ups, addendum requests, and medical record retrieval.
  • Ensure all reports meet client specifications, deadlines, and applicable state statutes.
  • Adhere to company policies, procedures, and confidentiality standards.
  • Assist in supporting and advancing the objectives of the IME Division.
  • Maintain accuracy and attention to detail to minimize financial and operational risk.

QUALIFICATIONS:

Education: High school diploma or equivalent required. Associate degree or higher preferred.

Experience:

  • Minimum of 1 to 3 years of customer service experience required.
  • Healthcare or medical administrative experience preferred
  • Quality assurance or report review experience strongly preferred

Skills:

  • Exceptional attention to detail with strong proofreading abilities
  • Analytical and critical thinking skills
  • Excellent written and verbal communication skills
  • Strong customer service mindset with professionalism and discretion
  • Ability to work independently while collaborating effectively with a team
  • Strong organizational, time management, and multitasking skills
  • Ability to prioritize work and consistently meet deadlines
  • Proficiency with Microsoft Office and general computer systems
  • Ability to follow detailed client-specific instructions
  • Commitment to confidentiality and data security

WORKING CONDITIONS:

This position is 100% remote, with required availability during standard business hours. This role requires a dedicated workspace with reliable internet. The role involves prolonged periods of sitting, operating a computer, and communicating via phone and email.

Ethos Risk Services is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristic.

Ethos

About Ethos

Ethos Risk Services is a technology-backed, full-service claims management company. We bring clarity to a world of uncertainty through investigation and verification resources aimed at delivering optimal solutions to our clients. Services include surveillance, OSINT/digital investigations, SIU, and claims investigations. We also provide a full suite of medical management solutions that includes utilization management, field case management, IME, bill review, and Medicare services (MSP).

Our coverage includes all 50 states and over 80 countries. We are SOC 2 Type 2 and HIPAA compliant.

Our vision is to be the most tech-enabled, customer-centric claim management company that makes verification a matter of certainty.

You want to be sure your claims are verified with all the facts. To do that you need all the facts, and delays increase costs. That’s why we’ve developed the technology and training to keep your claims on track for optimal outcomes. With our solutions you’ll save time and money with the peace of mind of having 100% surety.

More Coverage. More Accountability. More Consistency.

Industry
Finance & Insurance
Company Size
201-500 employees
Headquarters
Saint Petersburg, Florida
Year Founded
2006
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