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QA Associate Operations
$56k-70k (estimate)
Other
2 Months Ago
Integrated Resources Inc is Hiring a QA Associate Operations Near Pittsburgh, PA
Job Description:
• Performs and documents results of all quality assurance evaluations on all operational products and services, including (but not limited to) benefit verification cases, patient assistance cases, software support calls/emails, inbound calls from patients or health care providers, data entry, etc.
• Participates in internal, vendor, or client calibration meetings as required to address quality initiatives but does not lead them
• Identifies and escalates critical quality issues appropriately to senior management
• Assists with other QA-related functions and responsibilities as needed to meet department and company goals
• Availability to work occasional evening and/or weekend hours to meet company and departmental goals as the business need arises
• Auditing work completed by Operations agents
• Sending feedback to Operations leadership on agent performance
• Attending meetings, helping with data analysis, and other duties as assigned
What we need from you:
• Highschool or relevant experience
• 1 – 3 years as a Case Manager, Benefit Verification Specialist, or Contact Center agent at ***, or equivalent experience in a similar role in another company, or 1 – 3 years of prior quality control experience
• Moderate Excel ability (data validation, data entry, tables, simple formulas) Experience with technical writing (e.g., SOPs, User Manuals, Work Instructions), typing, and PowerPoint ability.
• Knowledge Solid working knowledge of quality-orientated services such as accuracy management, performance metrics, customer experience/satisfaction, healthcare benefits, and SOP execution. Health Care Experience is required, specifically claim processing, contact center, benefit verification, or similar industry experience. Call Center and/or Claim Processing experience is a plus.
• Problem-solving, results-oriented, active listening, and high attention to detail. Monitor telephone calls and communications between The Customer and The Customer Care Center. A strong understanding of empathy across the Customer Care Center is required in all patient interactions. Ensure provision of exceptional customer service required in customer care case management engagement. Work in a matrix environment requiring strong collaboration skills.
- The Operations Quality Assurance Associate I will evaluate work completed by Operations agents aProductst program SOPs, WINs, business rules, and other program-related documents for adherence to expectations outlined in the documents.
- The QA Associate I must be able to use objective decision-making and critical thinking skills to determine whether audited work meets internal and external expectations.
- The Operations Quality Assurance Associate I will be a subject matter expert for their respective assigned business unit(s) and will utilize analytical skills to analyze data, processes, and workflows to provide insightful, actionable coaching for the Operations Agents.
• Performs and documents results of all quality assurance evaluations on all operational products and services, including (but not limited to) benefit verification cases, patient assistance cases, software support calls/emails, inbound calls from patients or health care providers, data entry, etc.
• Participates in internal, vendor, or client calibration meetings as required to address quality initiatives but does not lead them
• Identifies and escalates critical quality issues appropriately to senior management
• Assists with other QA-related functions and responsibilities as needed to meet department and company goals
• Availability to work occasional evening and/or weekend hours to meet company and departmental goals as the business need arises
• Auditing work completed by Operations agents
• Sending feedback to Operations leadership on agent performance
• Attending meetings, helping with data analysis, and other duties as assigned
What we need from you:
• Highschool or relevant experience
• 1 – 3 years as a Case Manager, Benefit Verification Specialist, or Contact Center agent at ***, or equivalent experience in a similar role in another company, or 1 – 3 years of prior quality control experience
• Moderate Excel ability (data validation, data entry, tables, simple formulas) Experience with technical writing (e.g., SOPs, User Manuals, Work Instructions), typing, and PowerPoint ability.
• Knowledge Solid working knowledge of quality-orientated services such as accuracy management, performance metrics, customer experience/satisfaction, healthcare benefits, and SOP execution. Health Care Experience is required, specifically claim processing, contact center, benefit verification, or similar industry experience. Call Center and/or Claim Processing experience is a plus.
• Problem-solving, results-oriented, active listening, and high attention to detail. Monitor telephone calls and communications between The Customer and The Customer Care Center. A strong understanding of empathy across the Customer Care Center is required in all patient interactions. Ensure provision of exceptional customer service required in customer care case management engagement. Work in a matrix environment requiring strong collaboration skills.
Job Summary
JOB TYPE
Other
SALARY
$56k-70k (estimate)
POST DATE
05/25/2024
EXPIRATION DATE
10/12/2024
HEADQUARTERS
BONITA SPRINGS, FL
SIZE
50 - 100
FOUNDED
2014
REVENUE
$10M - $50M
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