
Quality Control Specialist
2 days ago
We are seeking a dedicated professional to fill the role of Quality Control Specialist.
Responsibilities- Ensure that all deliverables meet quality standards and client expectations.
- Work closely with the team leader to identify areas for improvement and implement changes.
- Responsible for handling denials, prior authorizations, eligibility verification, rejections, and making required corrections to claims.
- Communicate effectively with insurance carriers and document actions taken in claims billing summary notes.
- Review emails for updates and identify issues to escalate to the immediate supervisor.
- Maintain strict adherence to company policies and procedures.
- Minimum 1.5 years of professional experience in quality control or a related field.
- Extensive knowledge of healthcare concepts, including audits, coaching, and training.
- Excellent communication and interpersonal skills.
- Ability to work independently and as part of a team.
- Proficient in calling insurance companies and resolving issues.
- Competitive salary and benefits package.
- Opportunities for career growth and professional development.
- A supportive and collaborative work environment.
- Recognition and rewards for outstanding performance.
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