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Quality Assurance Specialist

Lake Mary, FL 32746 | Fully Remote

Posted: 09/20/2024 Employment Type: Contract Job Category: Administrative/Clerical Job Number: 20277 Earning Potential: 21.25

Job Description

JOB ID 20277 – Quality Assurance Specialist

Location:  Fully remote, must be local to Lake Mary for equipment pickup

Pay:  $21.25 per hour

Type:  Contract, until approximately 2/15/2025

Schedule:  M-F 9-6 EST through Dec
January and beyond may have different shift hours will between 8am to 8pm EST
In January, shifts can move around usually 90% fixed

Start date:  10/28/2024

Summary:  This position is data verification, not call monitoring.  Reviewing case data daily. 

Job description:
  • Perform quality assurance initiatives by reviewing daily benefit verifications for completeness and accuracy, ensuring adherence to established standards.
  • Update quality documentation as needed to reflect current practices and protocols.
  • Provide feedback to supervisors based on quality control evaluations and assist in identifying areas for improvement.
  • Meet daily quotas for the number of benefit verifications reviewed, maintaining efficiency while upholding quality standards.
  • Document evaluations using departmental quality monitoring templates and participate in calibration meetings to ensure consistent application of expectations and standards.

Nice to have:
  • Benefits verification
  • Prior authorizations
  • Revenue cycle
  • Medical billing

Requirements:
  • Must have at least 1-2 years of experience performing benefit investigations or closely aligned medical and insurance work.
  • Must have knowledge of medical terminology.
  • Must have a private designated workspace.
  • High school diploma or equivalent.
  • Employment verification required.
  • Education verification required.
  • Background check required.

Meet Your Recruiter

Rebekah Datsko
Client Service Manager

Hi, I'm Rebekah from the Client Services team here at Hiregy ready to assist you with your career search.  If you have any questions about this role, I am happy to help.  

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About Lake Mary, FL

Ready to take the next step in your career? Explore exciting job opportunities in the vibrant area surrounding Lake Mary, Florida! Nestled in the heart of Seminole County, Lake Mary offers a perfect blend of suburban charm and urban convenience. With top-rated schools, stunning parks like Central Park at Lake Mary, and a thriving arts scene featuring the Jeanine Taylor Folk Art Gallery and the Wayne Densch Performing Arts Center, this region is a haven for both nature enthusiasts and culture aficionados. Indulge in local delicacies like gator tail at popular eateries and catch a game by Orlando City SC at Exploria Stadium just a short drive away. Start your next chapter in Lake Mary and discover a flourishing community filled with endless growth opportunities and enchanting Southern hospitality!