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Quality Assurance Specialist

6/4/2025

No location specified

Job Summary

A company is looking for a Quality Specialist to audit claims for accuracy and eligibility.

Key Responsibilities
  • Audit pre and post payment claims for accuracy and eligibility transactions
  • Identify errors and necessary corrective measures
  • Participate in special audit assignments as needed
Required Qualifications
  • 1+ years of experience working in a health care setting
  • 6 months or more interpreting and understanding plan documents
  • Knowledge of Microsoft Excel
  • High school diploma or GED

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