Quality Assurance Specialist

Job Overview

Job Description

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,