Search by job, company or skills

Health Prime

Senior Quality Assurance Specialist

Early Applicant
  • 5 months ago
  • Be among the first 50 applicants

Job Description

Position- Senior Specialist QC

Job Location - Mumbai/Vadodara

Job Description
-
Ensure claims are adjudicated in compliance with provider contract parameters, member demographic information, and service level requirements through random sample audit and targeted claim reviews
Mark errors made by production team and check whether corrections are made into the system after feedback
Compile data, perform audit, interpret and report back results to Quality Head
Provide monthly/quarterly/yearly feedback used for optimizing client reporting and employee performance measurement
Participate in documenting and prioritizing potential solutions to issues & fallout for system issues
Assist in establishing, updating, and communicating any change in the existing procedures
Education

Graduate in any stream

Training/Work experience

Billing & collections training and/or 1 year of industry experience in the relevant function

Other specifications

Good English communication (reading, writing)

Understanding of US healthcare, HIPAA

Good at Operating Computer - software and MS office

Capable of task execution based on work instructions

Apply Here-

https://primepeople.darwinbox.in/jobs/jobsdetailed/id/a63aade4069a6a/grp_company/a630471e0e6203

More Info

Industry:Other

Function:Healthcare

Job Type:Permanent Job

Skills Required

Login to check your skill match score

Login

Date Posted: 20/06/2024

Job ID: 82453003

Report Job

About Company

Hi , want to stand out? Get your resume crafted by experts.

Similar Jobs

Senior Quality Assurance Specialist

HireRightCompany Name Confidential

Quality Assurance Senior Specialist

SanofiCompany Name Confidential
Last Updated: 14-11-2024 03:39:51 PM
Home Jobs in Mumbai Senior Quality Assurance Specialist