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Claim Healthcare QA

Phoenix, AZ
Role: Claim Healthcare QA
Interview Address: Remote
Duration: 6-8+ Months
Pay Rate: $18/hr on w2
 
 Job Description
 
 
Overall responsibility:
Individuals will process claims upon receipt. Prior to finalizing of the claims, the associate must review claim images, validate all data entered, confirm member eligibility and follow benefit guidelines in accordance with state and federal guidelines
Leads the team of up to 25 associates; and is able to assist with claims related questions on processing and quality; track daily attendance, production and quality; ability to create and maintain reports; conduct monthly 1-on-1 reviews with all staff
Ensuring all client requirements with respect to Production & Quality and compliance are taken completed timely and accurately
Must be able to lead meaningful conversations with the clients; manage issues and escalations and quality rebuttals with sound logic and data
Ensures that work is completed as per priority assigned
 
 
Required:
Qualifications
High School Diploma or equivalent
1-2 years previous experience in Healthcare Claims Processing (Medical; Medicare/Medicaid; Rx;
 
 
 
Regards,

Rahul Yadav
(408) 560-3956
rahul@reqroute.com

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ReqRoute, Inc is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, disability, military status, national origin or any other characteristic protected under federal, state, or applicable local law. (www.reqroute.com)

 

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