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Quality Assurance Specialist

Global Channel Management
Mason, OH Full Time
POSTED ON 1/22/2025
AVAILABLE BEFORE 4/22/2025

About the job Quality Assurance Specialist

Quality Assurance Specialist needs claims , appeals , call center experience

Quality Assurance Specialist requires :

  • Hybrid of 2 days / week
  • Works grievance and appeals
  • Prior work experience (G&A, claims, appeals, call center, etc.)
  • Strong written and verbal communication skills, and health claims processing background

Quality Assurance Specialist duties :

  • Review and resolve member and provider complaints
  • Maintain accurate, complete complaint / grievance records in the electronic database.
  • Coordinates Complaint , preparing the agenda
  • Notifying participants,
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