Quality Assurance Analyst

Job Summary

To enhance operational effectiveness, the full-time remote Quality Assurance Analyst will review, analyze, and monitor repricing audit data across multiple platforms to ensure accuracy, compliance, and efficiency while collaborating with internal teams to improve 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

• 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
• Strong understanding of repricing claims processing and contractual rate application
• Knowledge of healthcare revenue cycle and reimbursement