Quality Assurance Specialist
5 days ago
Global Channel Management, Inc is seeking a highly skilled Quality Assurance Specialist to join our team.
Key Responsibilities:
- Review and resolve member and provider complaints in a timely and efficient manner.
- Maintain accurate and complete complaint/grievance records in our electronic database.
- Coordinate complaint preparation, including agenda creation and participant notification.
- Utilize strong written and verbal communication skills to effectively communicate with stakeholders.
- Work in a hybrid environment, with a focus on grievance and appeals.
Requirements:
- Strong background in health claims processing and quality assurance.
- Experience in claims, appeals, and call center environments.
- Ability to work in a fast-paced environment and prioritize tasks effectively.
- Excellent written and verbal communication skills.
What We Offer:
- A dynamic and supportive work environment.
- Opportunities for professional growth and development.
- A competitive salary and benefits package.
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