Medical and Billing Report Quality Assurance Specialist

4 weeks ago


Houston, Texas, United States North American Consultants Inc Full time
Job Title: Medical and Billing Report Quality Reviewer

Job Summary:

We are seeking a detail-oriented Medical and Billing Report Quality Reviewer to join our team at North American Consultants, Inc. The ideal candidate will be responsible for reviewing and evaluating medical reports and billing documents to ensure they are accurate, complete, and compliant with industry standards.

Key Responsibilities:

  • Review and evaluate medical reports for accuracy and completeness.
  • Verify the accuracy of medical billing information and related calculations.
  • Collaborate with medical and billing experts to resolve any discrepancies or issues found in reports.
  • Provide feedback and recommendations for improving report quality and consistency.
  • Maintain confidentiality and adhere to all relevant legal and regulatory standards.

Requirements:

 

 

  • Adherence to strict deadlines
  • Adaptability to daily operational variations within the department
  • Proficient time management abilities
  • Strong foundational proficiency in mathematics
  • Prior experience with CRM is advantageous but not mandatory
  • Experience in medical billing, healthcare administration, or medical report evaluation is highly desirable.
  • Strong attention to detail and excellent proofreading skills.
  • Proficiency in medical terminology and billing practices.
  • Excellent written and verbal communication skills.
  • Ability to work independently and manage multiple tasks efficiently.
  • Strong analytical and problem-solving skills.
  • Proficiency in Microsoft Office Suite (Word, Excel, Outlook).

Preferred Qualifications:

  • A minimum of an associates degree or at least three years of relevant experience in fields such as healthcare, medical billing, or accounting is preferred.
  • Certification in medical billing or coding is a plus.
  • Prior experience in a legal or insurance environment.
  • Degree in a relevant field (e.g., healthcare, medical billing, English, or related).

What We Offer:

  • Competitive salary and benefits package.
  • Opportunity to work with a dynamic and supportive team.
  • Flexible work environment with opportunities for remote work.
  • Professional development and growth opportunities.

 

Company Description

North American Consultants, Inc. is a Risk Management and Investigations company that provides services to most major Insurance Companies and to their Defense Counsels. We offer professional evaluations of medical claims arising from several different types of coverage, including Auto and General Liability.



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