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Contract Quality Analyst (WFH)
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Job Description
- Req#: 24689
Employer Industry: Healthcare Equipment and Services
Why consider this job opportunity:
- Generous paid time off and paid holidays
- Bonus and incentive opportunities
- Work from home flexibility after in-office training
- Comprehensive benefits including medical, dental, vision, and 401k
- Opportunity for career advancement and growth within the organization
- Employee recognition program and discount programs
What to Expect (Job Responsibilities):
- Ensure accuracy of payer agreement data input into processing systems
- Identify quality assurance standards and maintain data integrity
- Document QA findings and quantify quality percentages
- Perform quality analysis of payer plan loads, HCPC requests, and payer rule changes
- Collaborate with internal and external customers to develop contract strategies
What is Required (Qualifications):
- High school diploma or GED equivalent
- Background investigation and drug screen (when applicable)
- Valid driver's license with a clean driving record (when applicable)
- Effective communication skills in English, both oral and written
- Knowledge of industry contracts and medical billing
How to Stand Out (Preferred Qualifications):
- Associate's degree or equivalent combination of education and experience in healthcare or billing
- Paralegal Certificate
- Three years of related work experience in healthcare or contracts
- Familiarity with Innovative Medical Billing System (IMBS) and other relevant software
- Strong organizational, time-management, and problem-solving skills
#HealthcareEquipment #QualityAssurance #RemoteWork #CareerAdvancement #EmployeeBenefits
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