Work from Home Performance Quality Analyst II

Job Summary

Leading health benefits companies is filling a position for a Work from Home Performance Quality Analyst II.

Core Responsibilities Include:

• Demonstrating ability to audit multiple lines of business, multiple functions, and multiple systems
• Assisting higher level auditor/lead on field work as assigned and acts as auditor in charge on small and less complex audits
• Participating in pre and post implementation audits of providers, claims processing and payment, benefit coding, member and provider inquiries, enrollment & billing transactions and the corrective action plan process

Skills and Requirements Include:

• BS/BA
• 3 years related experience in an enrollment and billing, claims and/or customer contact automated environment
• 1 year related experience in a quality audit capacity