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Quality Assurance Specialist

2 months ago

Phoenix, Arizona, United States Rafi Law Group PLLC Full time
Job Description

Role Overview

The Quality Assurance Specialist plays a pivotal role in the final review of case files before they transition into the negotiation phase, ensuring thorough preparation for the subsequent accounting phase. This position is integral to maintaining compliance during the concluding stages of personal injury cases. The ideal candidate will possess substantial experience in personal injury case management, particularly in demand preparation, lien management, subrogation regulations, and trust account protocols.

Key Qualifications

  • Minimum of 2 years' experience in a Personal Injury Paralegal or Case Management role
  • Proficient understanding of Medical Records and Billing processes
  • Familiarity with MS Office Suite
  • Exceptional Interpersonal and Communication Skills
  • Strong Organizational and Time Management Abilities
  • Meticulous Attention to Detail
  • Effective Problem-Solving Skills
  • Capacity to Work Independently and Manage Multiple Tasks
  • Commitment to Maintaining Confidentiality
  • Experience in Leadership and Coaching is advantageous

Primary Responsibilities

  • Conduct comprehensive audits of case files in preparation for negotiations
  • Identify and rectify missing medical documentation, billing statements, and health insurance details
  • Redact sensitive personal identifiable information as necessary
  • Collaborate with Case Managers to verify client treatment providers
  • Communicate any identified issues regarding cases with Office Managers, Attorneys, and Case Managers
  • Document findings within the electronic case management system
  • Prepare detailed reports and formulate recommendations
  • Ensure adherence to established policies and procedures
  • Maintain accuracy in accordance with internal protocols
  • Guide Case Managers in producing high-quality demands
  • Maintain tracking logs
  • Effectively prioritize workload

Employment Type: Full-time