Quality Assurance Administrator

he 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