Quality Assurance Rep
Quality Assurance requires:
-High level of professionalism and ability to deal with sensitive information
-Strong oral and written communication skills 2 years practical work experience in claims, service or health services environment.
-One year experience in healthcare related appeals/grievances, preferred
-1 year experience in healthcare related appeals/grievances, preferred
-Ability to work well under pressure and multi-task
-High sense of urgency and ability to manage to strict deadlines
-Demonstrated resourcefulness in resolving problems
-Demonstrated ability to learn new technology systems and query reporting -
-Ability to work independently Quality Assurance duties:
-Responsible for resolution of member and provider complaints and appeals related to quality of care, access to care, and benefit determination.
-Log, track and report on all medically necessary claims.
Employment Type: Contractor
Salary: $ 17.00 Per Year
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