• Job Description

  Req#: INSUR002986
  About Us:
  
  Meduit is a national leader in healthcare revenue cycle management, supporting hospitals and physician practices in 48 states. We focus on optimizing payments, allowing clients to focus on patient care, and pride ourselves on our core values: Integrity, Teamwork, Continuous Improvement, Client-Focused, and Results-Oriented. Learn more at www.meduitrcm.com.
  
  About the Role:
  
  The Insurance Quality Assurance (QA) Specialist audits and reviews account representatives' work to ensure accuracy, compliance with company policies, and adherence to regulatory and client specific requirements. The role supports revenue cycle performance through data analysis, trend identification, and actionable feedback to Operations.
  
  Title: Insurance QA Specialist
  
  Location: Remote
  
  Schedule: Full-Time, any US Time Zone
  
  Department: Training
  
  Reports To: Insurance Trainer QA Supervisor
  
  Compensation: $20 & up, depending on experience & qualifications
  
  Key Responsibilities:
  
  Conduct audits across multiple projects to assess account accuracy, documentation quality, billing and coding practices, and adherence to standard operating procedures and workflows
  
  Verify claims, validate data integrity, and evaluate compliance with regulatory and client specific guidelines specific guidelines
  
  Analyze audit results to identify error trends, discrepancies, and opportunities for improvement
  
  Document clear, accurate audit findings and recommendations, highlighting training needs and process improvement opportunities
  
  Provide reporting and feedback to Operations to support performance improvement and compliance
  
  Maintain strict confidentiality and security of patient and company information
  
  Meet established daily, weekly, and monthly productivity and quality targets
  
  Competencies:
  
  Strong verbal and written communication skills, including public speaking and group facilitation
  
  Ability to maintain a working knowledge of multiple systems and applications as assigned
  
  Strong organizational, time management, and multitasking skills in a fast-paced environment
  
  Detail oriented and self-motivated, with strong follow-up skills
  
  Adaptable with the ability to shift priorities as needed
  
  Ability to maintain confidentiality of patient, employee, and company information
  
  Ability to understand and comply with organizational policies, procedures, and regulatory requirements
  
  Required Qualifications:
  
  Minimum of 3-5 years of experience in revenue cycle management, billing, coding, or quality assurance within a healthcare setting
  
  Internal candidates: minimum of 1 year with Meduit
  
  Experience with nationwide payors and regulations: Medicare, Medicaid, and commercial payor experience
  
  Proficiency with Microsoft Office
  
  Download speed of 30MB or higher & upload speed of 10MB or higher are REQUIRED. (you can test your speed here: https://speedtest.net/)
  
  Access to a Secure and Private workspace (a space in which no one can hear or see you as you may have protected health information on your screen or you may say names, social security numbers or other PHI)
  
  Preferred Qualifications:
  
  Bachelor's degree in Health Information Management, Healthcare Administration, and/or related field
  
  Certification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or similar credentials
  
  Systems Experience: Epic, Meditech, Cerner, & ECW
  
  Employment eligibility:
  
  Must be legally authorized to work in the United States without sponsorship
  
  As a condition of employment, a pre-employment background check will be conducted
  
  At this time, we are unable to consider candidates residing in the state of New York for this position
  
  What We Offer:
  
  Comprehensive paid training
  
  Medical, dental, and vision insurance
  
  HSA and FSA available
  
  401(k) with company match
  
  Paid Wellness Time and Holidays
  
  Employer paid life insurance and long-term disability
  
  Internal growth opportunities
  
  Meduit is an Equal Opportunity Employer. We do not discriminate based on any protected class and welcome applicants from all backgrounds, consistent with applicable laws. Employment is contingent upon successful completion of a background check, satisfactory references, and any required documentation.
  
  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.
  
  #LI-DNI
  
  Equal Opportunity Employer
  
  This employer is required to notify all applicants of their rights pursuant to federal employment laws.
  For further information, please review the Know Your Rights notice from the Department of Labor.

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