About the role
- Perform center wide quality assurance activities for A/R to ensure that work efforts are satisfactory of customer requirements in a systematic, reliable fashion, effectively using systems to do so.
- Audit the assigned number of accounts per day following a set schedule.
- Forms will be completed and turned in within required timelines.
- Make recommendations based on assessments that improve production and quality for the insurance reps.
- Ability to multi-task to ensure day-to-day work is complete as well as assigned projects.
- Coordinate QA findings with the QA Manager and appropriate departments, internal or external, and ensure that necessary follow-up is done to resolve any negative results.
- Adheres to and supports organizational IT&S standards, policies, and procedures.
- Adheres to Code of Conduct.
- Performs other duties as assigned.
- Demonstrated analytical, communication and problem-solving skills and the ability to act/decide accordingly.
- Ability to collect, and research complex or diverse information.
- Ability to plan, organize and exercise sound judgment.
- Ability to be objective when assessing the work of a co-worker.
- Ability to work as a team, as well as work independently, with minimal supervision.
- Need to be a self-starter with plenty of initiative to bring ideas and suggestions to the QA team in order to improve client satisfaction and department competency.
- Confidentiality is a must.
- Adheres to and supports organizational IT&S standards, policies, and procedures.
- Adheres to Code of Conduct.
- Performs other duties as assigned.
- Bachelor’s degree (or equivalent) and at least 4 years of professional experience.
- Minimum one-year related experience preferred, preferably in healthcare.
- Relevant education may substitute experience requirement.
- Proficient in written and verbal English communication.
- Ability to interpret policies and procedures.
- Attention to detail.
- Experience working with multiple systems.
- Ability to work independently and collaboratively.
- Experience in the operational or functional areas being audited.
- Strong organizational and time management skills.
- Experience maintaining accurate records or documentation.
- Communication - communicates clearly and concisely, verbally and in writing. This includes utilizing proper punctuation, correct spelling and the ability to transcribe accurately.
- Customer Orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations.
- Interpersonal skills - able to work effectively with other employees, patients and external parties.
- PC skills - demonstrate proficiency in Microsoft Office applications and others as required.
- Policies & Procedures - demonstrate knowledge and understanding of organizational policies, procedures and systems.
- Basic skills - able to perform basic mathematical calculations, balance and. reconcile figures, punctuate properly, spell correctly and transcribe accurately.