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Quality Assurance Specialist
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Job Description
- Req#: 3264534
Employer Industry: Home Medical Equipment Services
Why consider this job opportunity:
- Salary up to $21/hr
- Opportunity for career advancement and growth within the organization
- Engaging work that directly impacts the quality of patients' lives
- Supportive and collaborative work environment
- Comprehensive training on home medical equipment products and services
- Opportunity to work in a dynamic and evolving healthcare sector
What to Expect (Job Responsibilities):
- Review delivery/shipping tickets and on-site orders to ensure compliance with accreditation and payer regulations
- Accurately process, verify, and submit documentation and orders
- Maintain and review all required documentation for insurance coverage and reimbursement
- Communicate with leadership regarding trends noticed with insurance companies
- Assist with the implementation of performance improvement programs related to billing and coding performance
What is Required (Qualifications):
- High School Diploma or equivalent
- One (1) year of work-related experience in healthcare administrative, financial, or insurance customer services, claims, billing, call center, or management
- Two (2) years of work-related experience for senior-level positions, including one (1) year of specific job experience
- Exact job experience in a Medicare certified HME, Diabetic, Pharmacy, or home medical supplies environment that routinely bills insurance
- Ability to navigate multiple online EMR systems to obtain applicable documentation
How to Stand Out (Preferred Qualifications):
- Experience in quality assurance or compliance within the home medical equipment sector
- Familiarity with insurance verification processes and medical necessity documentation
- Proficient in using EMR systems for patient record management
- Strong analytical skills to identify trends for process improvement
- Excellent communication skills for liaising with sales and operations teams
#HomeMedicalEquipment #QualityAssurance #HealthcareCareers #PatientCare #InsuranceVerification
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