Remote Quality Assurance Specialist

Remote, USA Full-time Posted 2025-03-08

Leading global health insurance company that provides medical, dental, disability, life, and accident insurance is seeking an experienced Quality Assurance professional to join their team on a contract basis. Qualifications and requirements include: High School diploma; at least 5 or more years of working knowledge with strong knowledge in flat fee, RBRVS, 'percentage of' fee schedule... reimbursement types, medical terminology, ICD-10 and CPT and HCFA

salary: $22 - $26 per hour
shift: First
work hours: 8 AM - 4 PM
education: High School

Responsibilities
? Delivers professional activities in the Provider Data job family.
? Responsible for accurate, timely quality assurance for accurate reimbursement based on provider contract and area fee schedules.
? Provides quality assurance error reporting to data entry specialists and supervisor.
? Interprets update requests and coordinates with internal and external customer to clarify and complete.
? Applies standard techniques and procedures to routine instructions that require professional knowledge in specialist areas.
? Provides standard professional advice and creates initial reports/analyses for review.

Skills
? data analytics
? RBRVS
? HCFA coding
? ICD-10
Qualifications
? Years of experience: 3 years
? Experience level: Experienced
Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact [email protected].

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).

This posting is open for thirty (30) days

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