Quality Assurance Specialist

Job Summary

A company is looking for a Quality Specialist to audit claims for accuracy and eligibility.

Key Responsibilities

• Audit pre and post payment claims for accuracy and eligibility transactions
• Identify errors and necessary corrective measures
• Participate in special audit assignments as needed

Required Qualifications

• 1+ years of experience working in a health care setting
• 6 months or more interpreting and understanding plan documents
• Knowledge of Microsoft Excel
• High school diploma or GED