Insurance QA Specialist

Job Summary

A company is looking for an Insurance QA Specialist to audit and review account representatives' work for accuracy and compliance.

Key Responsibilities:

• Conduct audits to assess account accuracy, documentation quality, and adherence to procedures
• Verify claims and evaluate compliance with regulatory and client-specific guidelines
• Analyze audit results to identify trends and provide actionable feedback for improvement

Required Qualifications:

• 3-5 years of experience in revenue cycle management, billing, coding, or quality assurance in healthcare
• Experience with nationwide payors and regulations including Medicare and Medicaid
• Proficiency with Microsoft Office
• Access to a secure and private workspace
• Must be legally authorized to work in the United States without sponsorship