Quality Assurance Specialist

1 month ago

Sunrise Manor, Nevada, United States BeneLynk Full time

COMPANY OVERVIEW

Does the idea of applying your talents at a company that assists people in understanding how to obtain additional health care benefits and compensates well for doing so, inspire you? We call it "Doing good while doing well" and invite you to apply to join us and begin moving forward along a beneficial career path – one built on providing solutions by helping others navigate through the complex world of health care benefits.

Here at BeneLynk, our mission is to improve lives and positively impact social determinants of health barriers by providing our healthcare partners with the information they need, and people with the advocacy they deserve. We are laser-focused on our longstanding area of expertise in the healthcare world. We fully understand barriers and surface solutions, then provide the advocacy that changes lives and improves outcomes. Everything we do, from the systems we build, to our government relations, to our outreach operations, is in service of this one central vision.

WHO WE ARE

We are big-hearted people, passionate about serving our health plan clients, their members, and each other. We are a team in every sense of the word, striving toward a common mission – that is the goal of everyone at BeneLynk. Every day, we are relentless in helping people who need essential resources to make their lives easier and healthier. The members we serve call us "miracles," "kind," "professional," "human," and "compassionate," and all with "service that gets the job done." We pride ourselves on creating a healthy environment for our employees to thrive in their ability to assist others.

Quality Assurance Specialist

POSITION SUMMARY

We are actively seeking a Quality Assurance Specialist with experience in assisting elderly and disabled members to obtain Medicaid benefits. Responsibilities include quality control reviews to ensure compliance and product quality. The QA Specialist ensures that BeneLynk's Medicaid and SNAP applications are compliant with BeneLynk's policies as well as State and Federal regulations, as well as monitors calls to ensure staff are adhering to company expectations. The incumbent is responsible for increasing efficiencies, reducing errors, streamlining processes and procedures, and controlling the element of risk.

Key Responsibilities

  • Promote a culture of excellence, working cooperatively with all staff to enhance services and improve operations. Provide solutions as new requirements become necessary. Identify trends and patterns, best practices, and make recommendations for improvements in service delivery.
  • Review outgoing applications for compliance with company policies and procedures, and continually update job knowledge to provide solutions. Put controls in place to mitigate errors and other non-compliance issues.
  • Ensure proper phone etiquette and adherence to scripts and procedures, accurate and descriptive Lynk 360 documentation and proper disposition of cases.
  • Establish a clear mechanism of communication that provides ongoing feedback to the QA/GR Supervisor and Team Lead, Training department, Program Directors/Managers and VP of Government Relations regarding program conformance to BeneLynk standards and expectations.
  • Monitor data to identify trends that negatively impact members and company revenue to analyze opportunities and implemental internal process improvements,
  • Utilize technology to enhance work efforts, prepare reports and professional presentations that represent data obtained through a variety of venues.
  • Assist in the development and timely review of operational policies and assure that policies are revised and approved as needed.
  • Maintain current knowledge of state and federal regulatory requirements to adhere strict compliance of all aspects of BeneLynk's Outreach Operations.
  • Participate as required in BeneLynk's staff and operational development programs. Be a team player and communicate openly and honestly.
  • Demonstrate behaviors, actions, and attitude that reflect BeneLynk's vision, mission and values.
  • Other duties as assigned. QUALIFICATIONS
  • Education – associate degree or equivalent experience in health care administration, business, finance or a related field from an accredited college or university or equivalent experience and education which demonstrates the ability to perform the functions of the position.
  • Experience – One year of experience with demonstrated success in member advocacy. Demonstrated behavior of paying attention to detail, understanding of Medicaid eligibility and ability to effectively prioritize work.
  • Language Skills – Excellent verbal and written communication skills; ability to communicate with elderly and disabled individuals. Bi-lingual (English & Spanish) preferred. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successful perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  • Physical Activities – Remote
  • Weight Lifted/ Force Exerted – The employee's job does not require weight to be lifted or force exerted. WORK ENVIRONMENT This role is a remote position. POSITION TYPE/ EXPECTED HOURS OF WORK Full-time /Non-Exempt (Hourly) SALARY Based on Experience This position's minimum hourly rate is $20.00 USD EMPLOYEE BENEFITS We offer competitive salaries and benefits here at BeneLynk, as we truly value our employees and the amazing work that they do each day. Please see below for a list of some of our awesome employee benefits:
  • Monthly Bonus Incentives
  • Medical, Dental, Vision and Employee Assistant Program Benefits
  • 401K Match
  • 15 Paid Days Annually
  • Excellent Growth & Advancement Opportunities EMPLOYEE PERKS Work hard, play hard Having an engaged workforce and positive work environment is one of our top priorities here at BeneLynk. We do so through numerous initiatives that can be found below. We like to call our virtual work community, "The Bene-Verse". We also have an internal Culture Ambassador committee dedicated to ensuring all employees have a pleasant and exciting work experience.
  • Monthly Company Town Hall Events:
  • We love the opportunity to come together as a company. Join us monthly as we discuss exciting company updates, internal promotions, internal awards, upcoming events, and more
  • Monthly Internal Mental Health Newsletters:
  • Our Culture Ambassadors spearhead an internal newsletter centered on mental health topics. Our employees' overall wellbeing is our top priority, so we like to provide support whenever it is needed through this uplifting internal newsletter.
  • Monthly Streaming Services Perk:
  • Yes- we pay YOU to enjoy the television shows that you enjoy We pay up to a $12 per month for any streaming service subscriptions that you currently have.
  • Tickets at Work Perk:
  • Enjoy discounted movie tickets, hotel stays, and more through our company's 'Tickets at Work' perk
  • Monthly Lunch & Learn Events:
  • Meet key members of our Senior Management team through engaging Lunch & Learn sessions on a monthly basis. Lunch is on us for those employees that sign up
  • Monthly Bene-Verse Events:
  • We put on awesome monthly events for our employees including virtual trivia, team building exercises, guided painting sessions, and more EEO STATEMENT At BeneLynk, we don't just accept differences; we celebrate, support, and thrive on them for the benefit of our employees, our products, and the communities that we serve. All employees share in the responsibility for fulfilling this company's unwavering commitment to equal employment opportunity. BeneLynk is an equal opportunity employer, and as such, employment here is solely based on a person's merit and qualifications directly related to their professional expertise. BeneLynk does not discriminate against any employee or applicant because of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, military status, marital/familial status, pregnancy, or related condition, including breastfeeding, or any other classes protected by law. It is BeneLynk's policy to comply with all applicable federal, state, and local laws pertaining to nondiscrimination and equal opportunity. The company's EEO policy, as well as its affirmative action obligations, includes the full support of the company, including its Chief Executive Officer because it's just the right thing to do and we hope that you think so too. If you require reasonable accommodation in completing an application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to our HR team. E-VERIFY BeneLynk participates in E-Verify. We will provide the U.S. Social Security Administration (SSA) and, if necessary, the U.S. Department of Homeland Security (DHS) with information from each new employer's Form I-9 to confirm work authorization. Offer of employment is contingent upon the results of a required background and drug screening.

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