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Healthcare Quality Assurance Specialist
4 weeks ago
We are seeking a dedicated Quality Assurance Specialist to join our team during our busiest season. As a Quality Assurance Specialist, you will be responsible for reviewing benefit verifications for completeness and accuracy, meeting daily quality quotas, and providing feedback to supervisors based on quality protocols.
Key Responsibilities:
- Review benefit verifications for completeness and accuracy
- Meet daily quality quotas and update documentation as needed
- Provide feedback to supervisors based on quality protocols
- Participate in calibration meetings to maintain evaluation consistency
Requirements:
- 2+ years of benefit investigations or similar medical/insurance experience
- 1+ year of Quality Assurance/Auditing experience
- Strong computer skills and proficiency in Word, Excel, and PowerPoint
- High attention to detail and ability to perform quality checks on large data sets
On-boarding Requirements:
- High School Diploma or equivalent (GED)
- Criminal Background & Drug Screening
- 2 verifiable employment references
Please read requirements carefully as we are prioritizing those that meet the requirements.