Quality Assurance Specialist

2 days ago


Mason, Ohio, United States Global Channel Management Full time


Quality Assurance Specialist needs claims , appeals , call center experience

Quality Assurance Specialist requires:

  • Hybrid of 2 days/week
  • Works grievance and appeals
  • Prior work experience (G&A, claims, appeals, call center, etc.)
  • Strong written and verbal communication skills, and health claims processing background

Quality Assurance Specialist duties:

  • Review and resolve member and provider complaints
  • Maintain accurate, complete complaint/grievance records in the electronic database.
  • Coordinates Complaint , preparing the agenda
  • Notifying participants,



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