Position Summary:
Provide quality assurance and system support for the QA Manager and Center Director.
Responsibilities:
Perform center wide quality assurance activities for A/R to ensure that work efforts are satisfactory of customer requirements in a systematic, reliable fashion, effectively using systems to do so.
Audit the assigned number of accounts per day following a set schedule.
Forms will be completed and turned in within required timelines.
Make recommendations based on assessments that improve production and quality for the insurance reps.
Ability to multi-task to ensure day-to-day work is complete as well as assigned projects.
Coordinate QA findings with the QA Manager and appropriate departments, internal or external, and ensure that necessary follow up is done to resolve any negative results.
Adheres to and supports organizational IT&S standards, policies, and procedures.
Adheres to Code of Conduct.
Performs other duties as assigned.
Demonstrated analytical, communication and problem solving skills and the ability to act/decide accordingly.
Ability to collect, and research complex or diverse information.
Ability to plan, organize and exercise sound judgment.
Ability to be objective when assessing the work of a co-worker.
Ability to work as a team, as well as work independently, with minimal supervision.
Need to be a self-starter with plenty of initiative to bring ideas and suggestions to the QA team in order to improve client satisfaction and department competency.
Confidentiality is a must.
Adheres to and supports organizational IT&S standards, policies, and procedures.
Adheres to Code of Conduct.
Performs other duties as assigned.
Education & Experience:
Bachelors degree or equivalent work experience preferred .
Minimum 4 years of experience required, preferably in healthcare.
Relevant education may substitute experience requirement.
Must Have Skills
Proficient in written and verbal English communication
Ability to interpret policies and procedures
Attention to detail
Experience working with multiple systems
Ability to work independently and collaboratively
Nice to Have Skills
Experience in the operational or functional areas being audited.
Strong organizational and time management skills.
Experience maintaining accurate records or documentation.
Knowledge, Skills, Abilities, Behaviors:
Communication - communicates clearly and concisely, verbally and in writing. This includes utilizing proper punctuation, correct spelling and the ability to transcribe accurately.
Customer Orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations.
Interpersonal skills - able to work effectively with other employees, patients and external parties.
PC skills - demonstrate proficiency in Microsoft Office applications and others as required.
Policies & Procedures - demonstrate knowledge and understanding of organizational policies, procedures and systems.
Basic skills - able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately .
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