Quality Assurance Auditor
A company is looking for a Quality Assurance Auditor responsible for auditing various processes and ensuring compliance with established standards.
Key ResponsibilitiesAudit outgoing correspondence from Medical Review, Appeals, and Refund teamsConduct audits of claim adjustments by the Rapid Response team and new plans built by plan codersTrack and report audit trends and communicate training requirements based on resultsRequired QualificationsBachelor's degree or equivalent work experience requiredMinimum 5 years of experience with auditing medical, dental, and vision claimsProficient in Microsoft Word and Microsoft ExcelSome familiarity with plan codingAbility to manage multiple tasks and competing priorities effectively
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Quality Assurance Manager
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