Quality Assurance Specialist - Global Channel Management, Inc

Quality Assurance Specialist needs claims , appeals , call center experience

Quality Assurance Specialist requires:

Hybrid of 2 days/week

Works grievance and appeals

Prior work experience (G&A, claims, appeals, call center, etc.)

Strong written and verbal communication skills, and health claims processing background

Quality Assurance Specialist duties:

Review and resolve member and provider complaints

Maintain accurate, complete complaint/grievance records in the electronic database.

Coordinates Complaint , preparing the agenda

Notifying participants,