MEDICAL Quality Assurance Specialist

4 weeks ago


Tampa, United States TEKsystems Full time

Description:

This role will have the responsibility of quality testing all of the benefit plans for Prime. They will work in tandem with the AIS team as they build the plan. This person will then be working within a few systems to make sure the plan is built out correctly and to the specs of the client. If the plan is missing something or the claim isn't adjudicating correctly they will send it back to the AIS team to correct. This role has a very high level of attention to detail, there is no phone work. They may communicate internally back and forth with their team / AIS reps but that will be it. They will have a scorecard once out of training. They will be expected to work 25 plans a week. This is a non-IT position falling under the operations vertical.

Skills:

Quality assurance, Data Entry, QA, Claims processing, Microsoft office, Medical record

Top Skills Details:

Quality assurance,Data Entry,QA,Claims processing,Microsoft office

Additional Skills & Qualifications:

Minimum requirements: Two or Four year degree required Preference given to Math, Biology, business, healthcare admin, or History degrees. Anything with a large background in research for the degree 1 year of Excel experience (No V lookups or Pivot Tables) Preferred experience: 3+ years of health care insurance experience. Knowing medical terminology, deductible, copay, provider language will help them stand apart. Experience in a production based environment is a plus. They do run a scorecard, roughly 25 plans worked a week is the standard.

Experience Level:

Intermediate Level

About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.



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