JOB: Quality Specialist
(Work at home.)
Category: Typing, Data Entry, Clerical, Admin, Quality Specialist
Region: Anywhere in North America
Notations:
Special note, This opportunity can be done at home and is available* to persons living in the U.S. or Canada on a "work at home" or telecommuting basis.
Work Description:
Employer is the pre-eminent supplier of health benefits solutions to the largest and most sophisticated purchasers in America. During the past decade, we have built a reputation for providing innovative, customized and highly integrated information, technology, benefits management and financial services solutions to the health and well-being marketplace.
Our Operations team is looking for four Quality Specialists to help identify defects, validate accuracy and work closely with system partners in an evolving quality program. We are in search of team players with a professional attitude and the ability to see quality from a customer perspective. This position would allow you to have direct impact on our processes and procedures. If you’re interested in working for a Fortune 50 company with great benefits and advancement potential, we encourage you to apply.
Primary responsibilities include:
* Auditing monthly health statements and Explanation of Benefits (EOBs)
* Ensuring all account activity is accurately represented on Monthly Health Statements and EOBs
* Ensuring quality and compliance with appeals regulations
* Analyzing audit data to create process improvement
* Auditing for consumer messages and alerts
* Working with system partners to ens
Employer's Preferred Contact Method for this job:
Apply directly from their website.
Qualifications and Requirements for this Typing, Data Entry, Clerical, Admin position:
Experience with customer service is required. Candidates who also have experience in claims and auditing will be preferred. Proficiency in TOPS and/or IDT programs is essential. Familiarity with GFLX and PRIME is a plus. A high level of professionalism and the ability to communicate effectively are critical to this role. Completion of some college is ideal.
Comments:
- This position has been pre-screened and is believed to be a scam-free work at home job or home business. (See comments below.)
- This Typing, Data Entry, Clerical, Admin-Quality Specialist opportunity is likely to involve working on the internet and may require a suitable home office, even if the requirements above do not mention it. A suitable home office usually, but not always, requires the basics: a home computer with high speed internet, an email address, working knowledge of internet and browser use, and probably some Microsoft(R) Office programs.
- This employment category includes various types of clerical and/or administrative jobs and may
include careers such as: data entry jobs, reservationists, coordinators, researchers, proofreaders,
writers, editors, transcriptionists, virtual assistants and others. Typically this type of job will
require a good home office (see above) and previous experience. Pay may vary greatly and is
generally based on production. You should never have to pay money to get a data entry job.
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*Please note:
This job has been pre-screened and is believed to be scam-free but is not guaranteed. The statements, including income claims, that may appear in this listing are made by the employer. We do not verify employer claims, including income claims, and can not guarantee the reliability or accuracy of statements made by employers. Please exercise caution when considering any business or employment opportunity; you are assuming full responsibility for any outcome resulting from responding to this listing. Listings and their availability are subject to change at any time..
