Quality Assurance Specialist

Job Summary

To ensure compliance and quality service, the full-time remote Quality Assurance Specialist will evaluate transaction accuracy, audit service functions, and mentor less experienced associates while identifying training opportunities.

Key responsibilities

• Audit assigned functions for accuracy, compliance, and benefit payment
• Document and report transaction errors using quality monitoring templates
• Coach and mentor less tenured associates while assisting in skill development activities

Required qualifications

• High School Diploma or GED
• 2 years of progressive experience in claims, customer service, enrollment, or billing auditing, preferably in healthcare or insurance
• Claims Processing experience in Facets/G6 systems
• Basic knowledge of quality assurance and production technologies
• Proficient in Microsoft Office programs