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Quality Assurance Specialist
2 weeks ago
Evergreen Bank Group Oak Brook, United States**Job Title: Quality Assurance Specialist** · **Department: Retail Banking** · **Reports To: VP, Branch Manager** · **FLSA Status: Non-Exempt (Hourly)** · **Summary**: This position is primarily responsible for verification of the accuracy and integrity of customer account docume ...
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Quality Assurance Specialist
2 weeks ago
Evergreen Bank Group Oak Brook, United States**Job Title: Quality Assurance Specialist** · **Department: Retail Banking** · **Reports To: VP, Branch Manager** · **FLSA Status: Non-Exempt (Hourly)** · **Summary**: This position is primarily responsible for verification of the accuracy and integrity of customer account docume ...
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Quality Assurance Specialist
2 weeks ago
Topco Associates Itasca, United StatesOverview · Topco Associates is currently seeking a Quality Assurance Specialist - Product Management for the Quality Assurance team in Itasca, IL. This position will be a hybrid role, with the successful candidate conducting work in our Itasca office and virtually. · Under guid ...
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Pharmaceutical Quality Assurance Specialist
2 weeks ago
Ingredion Incorporated Bedford Park, United StatesAs a Pharmaceutical Quality Assurance Specialist, API your responsibilities will include:Perform batch record review on all API and NF batches. Monitor the day-to-day quality activities of the API to produce and package products of sufficient quality Quality Assurance, Assurance, ...
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Longenecker & Associates Oak Ridge, United StatesJob Description · Job DescriptionOVERVIEW · Longenecker & Associates (L&A), supporting the United Cleanup Oak Ridge (UCOR) LLC contract, is in search of a Performance Assurance Specialist, to support the Contract & Performance Assurance organization. This position reports to the ...
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Pharmaceutical Quality Assurance Specialist
2 weeks ago
Ingredion Inc, Bedford Park, United StatesAs a Pharmaceutical Quality Assurance Specialist, API your responsibilities will include: · * Perform batch record review on all API and NF batches. · * Monitor the day-to-day quality activities of the API to produce and package products of sufficient quality and quantity that me ...
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Quality Assurance Specialist
2 weeks ago
North Iowa Area Community College Chicago, United StatesQuality Assurance Specialist Workforce Innovation and Opportunity Act (WIOA) · QUALITY ASSURANCE SPECIALIST - WORKFORCE INNOVATION AND OPPORTUNITY ACT (WIOA) · CATEGORY/LEVEL: · PSS/5, 12-monthcontract · BASIC FUNCTION: · We are seeking a dedicated andexperienced Quality Ass ...
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Quality Assurance Specialist
4 weeks ago
Goodwill Industries of Southeastern Wisconsin, Inc. Buffalo Grove, United StatesAs a Quality Specialist, you will be responsible for maintaining the quality management system (QMS) as per ISO 9001:2015. This includes document creation and control, tool calibration, internal auditing, corrective actions, and continuous improvement efforts. Additional areas of ...
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Quality Assurance Specialist
1 week ago
Katalyst HealthCares & Life Sciences Chicago, United StatesResponsibilities:Responsible for performing validation of computer systems, process automation, equipment, utility systems, and/or facilities by following approved standard operating procedures (SOPs), current Good Manufacturing Practices (GMPs) and all other regulatory requireme ...
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Quality Assurance Specialist
2 weeks ago
Katalyst HealthCares & Life Sciences Chicago, United StatesResponsibilities: · Responsible for performing validation of computer systems, process automation, equipment, utility systems, and/or facilities by following approved standard operating procedures (SOPs), current Good Manufacturing Practices (GMPs) and all other regulatory requi ...
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Quality Assurance Specialist
4 weeks ago
BronxWorks New York, United StatesJob Description · Job DescriptionBronxWorks helps individuals and families improve their economic and social well-being. From toddlers to seniors, we feed, shelter, teach, and support our neighbors to build a stronger community. In all aspects of our work, we strive for the highe ...
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Home Care Quality Assurance Specialist
2 weeks ago
Addus HomeCare Chicago, United StatesTo apply via text, text 5956 to · Position Summary: The entry level Quality Assurance (QA) Specialist will conduct in-home visits at clients' homes to monitor and report on the quality of services being provided by Home Care Aides, and to determine whether existing care plans a ...
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Home Care Quality Assurance Specialist
2 weeks ago
Addus HomeCare Chicago, United States Full timeRequisition #: 5956 · Location: Chicago, IL 60643 · Category: Clerical/Administrative Support · Service Line: Personal Care Services · To apply via text, text 5956 to · Position Summary : The entry level Quality Assurance (QA) Specialist will conduct in-home visits at clie ...
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Quality Assurance Specialist
2 weeks ago
Topco Associates Itasca, United StatesOverview · Topco Associates is currently seeking a Quality Assurance Specialist - Product Management for the Quality Assurance team in Itasca, IL. This position will be a hybrid role, with the successful candidate conducting work in our Itasca office and virtually. · Under guid ...
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Specialist, Distribution Quality Assurance
3 weeks ago
AbbVie North Chicago, United StatesJob Description · Job DescriptionCompany Description · AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives acr ...
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Quality Assurance Specialist
2 weeks ago
Addus Warrenville, United States**Job Details** · **Quality Assurance Specialist - Home Care** · **Requisition #:** · **Location:** Warrenville, IL 60555 · **Category:** Clerical/Administrative Support · **Service Line:** Administrative · **Position Summary****:** The Quality Assurance (QA) Specialist wil ...
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Specialist Quality Assurance
2 weeks ago
Abbott Laboratories company Chicago, United StatesThe Opportunity. This role will conduct quality-related activities in Complaint Handling to deliver consistent high-quality documents, services, products and processes, which adds value to the business. The primary function of the Quality Specialist Quality Assurance, Specialist, ...
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Quality Assurance Specialist
2 weeks ago
North Iowa Area Community College Chicago, United StatesQuality Assurance Specialist – Workforce Innovation and Opportunity Act (WIOA) · QUALITY ASSURANCE SPECIALIST - WORKFORCE INNOVATION AND OPPORTUNITY ACT (WIOA) · CATEGORY/LEVEL: · PSS/5, 12-monthcontract · BASIC FUNCTION: · We are seeking a dedicated andexperienced Quality As ...
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Home Care Quality Assurance Specialist
2 weeks ago
Addus Homecare Chicago, United StatesJob Description · Job DescriptionTo apply via text, text 5956 to · Position Summary: The entry level Quality Assurance (QA) Specialist will conduct in-home visits at clients' homes to monitor and report on the quality of services being provided by Home Care Aides, and to determi ...
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Home Care Quality Assurance Specialist
1 week ago
Ambercare Chicago, United StatesTo apply via text, text 5956 to · Position Summary: The entry level Quality Assurance (QA) Specialist will conduct in-home visits at clients' homes to monitor and report on the quality of services being provided by Home Care Aides, and to determine whether existing care plans ar ...
Hospital Billing and Follow-up Quality Assurance Specialist - Oak Brook, United States - Jorie AI
3 weeks ago
Description
Job Description
Job DescriptionSalary: $ $32.00The Hospital Billing and Follow-up Quality Assurance Specialist is responsible for the quality assurance of our medical billing department. In this role, you will be responsible for ensuring quality in areas including but not limited to AR, billing, collections, follow-up, analytics, and payer guidelines. This position holds additional duties with respect to research, and participation in root cause analysis and identifying process improvements and communicating results to provide performance feedback and continuous refinement.
Responsibilities
Conducts regularly scheduled reviews of accounts worked, and all related activities associated with resolution of claims.
Conducts analysis of issues holding up accounts and follows guidelines.
Ensures timely and accurate Revenue Cycle processes for areas of responsibility.
Identifies areas of utilization improvements and monitors expected outcomes.
Ensures the accuracy and completeness of billing processes, as well as monitors billing trends and provides recommendations for operational improvement.
Identifies recurring problems and procedural deficiencies and provides solutions to eliminate them.
Performs audits of A/R team, providing feedback and education based on results.
Develops overall educational materials based on common trends identified during the audit process.
Reviews, monitors, and tracks work queues in Epic and provides support as needed.
Performs other related duties as required or requested.
Qualifications
· High school diploma or equivalency.
Relevant certification COC / Certified Outpatient Coder certification is a plus.
Maintain departmental productivity levels and compliance with quality standards.
A minimum of 5 years' experience in hospital medical billing with a working knowledge of managed care, commercial insurance, and government payers.
A minimum of 3 year of prior experience translating billing error trending and quality assurance and translating these results into process improvements with minimum supervision required.
Proficiency in using medical billing software and EHR systems, (e.g., Epic, Unity, eCW, Meditech).
Attention to detail with the ability to identify/resolve problems and document the outcome.
Ability to collaborate effectively in a team setting to maximize quality and efficiency of operations.
remote work