Quality Assurance Analyst

Job Summary

Quality Assurance Analyst is a full-time remote position responsible for reviewing and monitoring repricing audit data to ensure accuracy and compliance while enhancing operational effectiveness and client satisfaction.

Key Responsibilities

• Identify and resolve quality issues within repricing processes
• Develop and implement QA policies and procedures
• Monitor compliance with pricing guidelines and contractual requirements

Required Qualifications, Training, and Education

• 5+ years in medical/insurance repricing, claims processing, or auditing
• 3+ years in quality assurance or equivalent combination of education and experience
• High School Diploma or higher required; Associate's or Bachelor's degree preferred
• Knowledge of healthcare revenue cycle and reimbursement
• Proficiency in Microsoft Office and multi-platform systems