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Healthcare Quality Assurance Specialist

2 months ago

Fort Worth, Texas, United States CornerStone Staffing Full time
Job Summary

We are seeking a skilled Quality Assurance Specialist to join our team. As a Quality Assurance Specialist, you will be responsible for reviewing benefit verifications for completeness and accuracy, ensuring that our quality standards are met.

The ideal candidate will have 2 years of experience performing benefit investigations or closely aligned medical and insurance work, as well as general knowledge of medical/pharmacy insurance. You will also have strong computer skills, including word processing, spreadsheets, and data analysis.

As a Quality Assurance Specialist, you will be working remotely and will be responsible for meeting assigned quotas for the number of benefit verifications per day. You will also be required to document evaluations using departmental quality monitoring templates and participate in regular calibration meetings with the QA team.

We offer a competitive hourly rate of $20-23 per hour and a flexible schedule that includes working 7am-7pm CST or 8am-8pm EST, Monday to Friday, with the possibility of working Saturdays if needed.

If you are a detail-oriented individual with excellent analytical skills and a passion for quality assurance, we encourage you to apply for this exciting opportunity.

Responsibilities
  • Complete quality initiatives, as assigned, for review of daily benefit verifications
  • Update Quality documentation as needed
  • Provide feedback to supervisor as needed and based on quality control protocols
  • Meet assigned quotas for number of BVs per day
  • Document evaluations utilizing departmental quality monitoring templates established quality standards, and quality monitoring technology
  • Participate in regular calibration meetings with QA team, and assigned management to ensure consistency of expectations, standards, and evaluations
  • Proactively identifies trends based on quality evaluations and provides program Operations leadership with regular performance feedback
Requirements
  • 2 years' experience performing benefit investigations or closely aligned medical and insurance work
  • General knowledge of medical/pharmacy insurance
  • Computer skills including word processing, spreadsheets, and general data analysis
  • High attention to detail and the ability to perform 100% QC checks on large amounts of data
  • Proficient in Word, Excel, and PowerPoint for presentation and report development
  • High School Diploma or GED
Company Description

CornerStone Staffing has been servicing the Dallas-Fort Worth metroplex since 1991. We are committed to supporting our community through our core values of compassion, integrity, self-discipline, and faith.

We currently have 11 offices across the Metroplex to serve your needs. If you are a job seeker looking for short-term supplemental income or a full-time position that will launch a new career, we can assist you in finding the right opportunity.