Quality Assurance Representative

Job Summary

A company is looking for a Quality Assurance Representative to review Medicare and Medicaid claims and ensure accuracy before submission.

Key Responsibilities:

• Review all claims and assign a level of service
• Review medical records to ensure billing compliance
• Review all claims prior to release to Medicare or Medicaid

Qualifications:

• Medical background: LPN, RN, EMT, Paramedic, LNA, Aide
• Strong knowledge of medical terminology
• Internet Speed of 15mbs or higher
• Ability to navigate between multiple programs simultaneously
• Ability to meet deadlines and handle stress