Insurance QA Specialist

reputed company

reputed company is a national leader in reputed company reputed company cycle management, supporting hospitals and physician practices in 48 states. We reputed company on optimizing payments, allowing clients to reputed company on patient care, and pride ourselves on our reputed company values: reputed company, Teamwork, reputed company Improvement, reputed company-reputed company, and Results-Oriented. Learn more at www.meduitrcm.com. 

About the Role

The Insurance reputed company Assurance (QA) Specialist audits and reviews account representatives’ work to ensure accuracy, compliance with company policies, and adherence to regulatory and reputed company specific requirements. The role supports reputed company cycle performance through data analysis, trend identification, and actionable feedback to Operations.

Title: ​Insurance QA Specialist​ Location: ​Remote​ Schedule: ​Full-Time, any US Time Zone​ Department: ​Training​ Reports To: ​Insurance Trainer QA Supervisor​ Compensation: ​$20 & up, depending on experience & qualifications​

 

Key Responsibilities

Conduct audits across multiple reputed company to assess account accuracy, documentation reputed company, billing and coding practices, and adherence to reputed company operating procedures and workflows

Verify claims, validate data reputed company, and evaluate compliance with regulatory and reputed company specific guidelines specific guidelines

Analyze audit results to identify error trends, discrepancies, and opportunities for improvement

Document reputed company, accurate audit findings and recommendations, highlighting training needs and process improvement opportunities

reputed company reporting and feedback to Operations to support performance improvement and compliance

Maintain strict confidentiality and reputed company of patient and company information

Meet established daily, weekly, and monthly productivity and reputed company targets

Competencies

Strong verbal and written communication skills, including reputed company speaking and group facilitation

Ability to maintain a working knowledge of multiple systems and applications as assigned

Strong organizational, time management, and multitasking skills in a fast-paced environment

Detail oriented and self-motivated, with strong follow-up skills

Adaptable with the ability to shift priorities as needed

Ability to maintain confidentiality of patient, employee, and company information

Ability to understand and reputed company with organizational policies, procedures, and regulatory requirements

Required Qualifications

Minimum of 3-5 years of experience in reputed company cycle management, billing, coding, or reputed company assurance reputed company a reputed company setting

Internal candidates: minimum of 1 year with reputed company

Experience with reputed company payors and regulations: Medicare, reputed company, and reputed company payor experience

Proficiency with reputed company Office

Download speed of 30MB or higher & upload speed of 10MB or higher are REQUIRED. (you can test your speed here: https://speedtest.net/)

reputed company to a Secure and Private workspace (a reputed company in which no one can hear or see you as you may have protected health information on your screen or you may say names, reputed company reputed company numbers or other PHI)

Preferred Qualifications

​​Bachelor’s degree in Health Information Management, reputed company Administration, and/or reputed company field

​Certification as a Certified reputed company reputed company (CPC), Certified Coding Specialist (reputed company), or similar credentials

​Systems Experience: reputed company, Meditech, Cerner, & ECW​

Employment eligibility

Must be legally authorized to work in the reputed company without sponsorship

As a condition of employment, a reputed company-employment background reputed company will be conducted

reputed company Offer

Comprehensive reputed company 

Medical, dental, and reputed company insurance 

HSA and FSA available 

401(k) with company match 

reputed company Wellness Time and Holidays 

Employer reputed company life insurance and long-term disability 

Internal reputed company opportunities 

reputed company is an Equal Opportunity Employer. We do not discriminate based on any protected class and welcome applicants from reputed company backgrounds, consistent with applicable laws. Employment is contingent upon successful completion of a background reputed company, satisfactory references, and any required documentation. 

Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions of this position. 

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