Quality Assurance Administrator

The Quality Assurance Administrator is responsible for obtaining timely receipt of physician reports, and forwarding to the appropriate QA analyst; adherence to compliance processes and protocols; excellent customer service to ensure customer satisfaction.

Responsibilities

• Delivers quality customer service from initial request for service until completion of end product (final report)
• Contacts providers to request physician reports in a timely manner
• Responsible for following workflow based on current queue statuses
• Receive physician reports and forward to appropriate QA Analyst
• Responds to client requests regarding report status
• Follows up with physicians when needed to obtain clarification or appropriate responses to all issues requested
• Performs billing, invoicing, and accounting functions
• Adheres to client protocols and jurisdictional regulations including, logging, processing and progress inquiries
• Submits end product (final report) to the client as dictated by their protocol
• Keeps client apprised regarding any delays or issues
• Contacts appropriate agencies or persons for verifying information
• Handles incoming and outgoing calls effectively and efficiently meeting client standards/protocols
• Communicates immediately with Quality Assurance Manger regarding any client concerns
• Meets specific department metrics
• Operates company software and equipment
• Enters data by inputting alphabetic and numeric information into system via keyboard
• Demonstrates strong organizational skills with the ability to multi-task without compromising extreme attention to detail
• Communicates using correct English, spelling, grammar, and punctuation
• Ability to understand and follow oral and written instructions while adhering to prescribed departmental routines
• Maintains confidentiality and discretion as a general rule
• Works effectively as a team contributor on all assignments
• Interacts professionally with other employees as well as clients
• Has a clear and concise understanding, and adheres to, guidelines as they relate to HIPAA, Conflict of Interest, and Ethics
• Understands current URAC standards as appropriate to job functions
• Other duties as assigned Qualifications:
• HS Diploma or equivalent
• Proficient with MS Office Suite, specifically Excel
• Previous medical records, billing, and/or insurance experience highly preferred, but not required
• Previous accounting, reporting, and invoicing experience a plus
• Excellent communication skills-verbal and written
• Ability to organize and prioritize work effectively
• Ability to accept and apply constructive feedback