Quality Coordinator

Job Summary

A company is looking for a Quality Coordinator.

Key Responsibilities

• Performs audits to ensure timeliness, accuracy, and consistency in reconsideration/dispute resolution decisions
• Participates in planning, preparing, and facilitating discussions for process and program improvement meetings
• Oversees and plans training for new and current staff, including developing presentations and quality tips

Required Qualifications

• Associate's degree or 60 or more credit hours towards a Bachelor's degree in healthcare or related discipline
• Three (3) years of medical dispute, Medicare appeals, or clinical experience in a healthcare setting
• Two (2) years of training experience
• Experience in Managed Care and making medical necessity decisions
• Must have resided in the United States for a minimum of three (3) years out of the last five (5) years