Healthcare Quality Assurance - CornerStone Staffing

Do you want to work from the comfort of your own home? Do you haveHealthcare Quality Assuranceexperience? APPLY NOW and come work for us!

We are seekingQuality Assurance Specialiststo join our growing team!! Come work for a TOP COMPANY in the health care system. We are growing and in our busiest season and we are seeking candidates who are passionate about the health care field and providing great customer service!

Job Title:Quality Assurance Specialist

Location:WORK FROM HOME- FULLY REMOTE - EQUIPMENT PROVIDED

Applicant must reside in TX, AZ, IN, KY, NC, SC, GA, FL to be considered for this role

Length of Role: Starts Mid October and ends mid - February 2025, based on the needs of the business candidates can be considered for full-time

Pay: $20-23/hr

Schedule: 7am 7pm CST or 8am 8pm EST | must be able to work all shifts

Typically Monday to Friday position, but candidate must be flexible to work Saturday's if needed

The Quality Assurance Specialist is a remote position responsible for performing a specific set of protocols designed to ensure quality standards are being met during the benefit reverification project. Tasks include reviewing a predetermined number of benefit verifications for completeness and accuracy.

Primary Roles And Responsibilities

Complete quality initiatives, as assigned for review of daily benefit verifications

Update Quality documentation as needed

Provide feedback to supervisor as needed and based on quality control protocols

Meet assigned quotas for number of BVs per day

Document evaluations utilizing departmental quality monitoring templates established quality standards, and quality monitoring technology

Participate in regular calibration meetings with QA team, and assigned management to ensure consistency of expectations, standards, and evaluations

Proactively identifies trends based on quality evaluations and provides program Operations leadership with regular performance feedback

The ideal candidate will have the following profile:

2 years experience performing benefit investigations or closely aligned medical and insurance work

General knowledge of medical/pharmacy insurance is a huge plus

Computer skills including word processing, spreadsheets, and general data analysis

High attention to detail and the ability to perform 100% QC checks on large amounts of data

Proficient in Word, Excel, and PowerPoint for presentation and report development

High School Diploma or GED

Application Process includes:

Background check, virtual interview and basic clerical assessments

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