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Requisition Number 19-0008
Post Date 1/11/2019
Title QA Specialist
City Birmingham
State Al
Description The QA Specialist is responsible for auditing and reporting on the quality outputs of others, including the review of Claims and Entry staff, Commercial Customer Service phone queue calls, Medicare Member Services phone queue calls, System Configuration, and Provider/Fee Configuration. This position impacts overall quality assurance in an effort to provide customers with superior service.
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Requirements REQUIRED:
• High School diploma or GED
• 1 year experience with all components of claims processing, Medicare enrollment, or customer service
• Knowledge of ICD9, CPT, HCPCS, HCFA, Uniform Billing codes, and Co-ordination of Benefits (COB)
• Proficient in medical terminology
• Demonstrate excellent customer service skills through written and verbal communication
• Organized, detail oriented, and skilled at prioritizing and multitasking
• Ability to work in a team environment, remaining flexible to ideas, routines and schedules, recognizing responsibilities, and actively participating with others to accomplish assignments and achieve desired goals
• Quality Assurance experience
• PowerSTEPP (TXEN) experience
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An Equal Opportunity Employer