Quality Assurance Specialist (IDR) (On-site) na ProPeer Resources LLC

Description

A ProPeer Quality Assurance Specialist ensures regulatory compliance and billing integrity in all programs and services and incident management. This position will collaborate with training and department leadership to identify areas for improvement and implement effective quality control measures.

Requirements

Essential Job Functions:

• Perform audits, provide feedback, and accuracy across various teams

• Provide quality assurance progress reports to IDR leadership

• Perform daily quality assurance evaluations to ensure assigned productivity targets are met or exceeded across all business lines

• Conducts root cause analysis and other data calibration with the IDR team and with cross functional departmental team members

• Identify trends and opportunities to improve quality

• Communicate quality improvements to IDR leadership

• Actively contributes as a project team member in identifying issues, developing solutions, and driving continuous improvement initiatives

• Serves as an escalation point for complex inquiries, unresolved issues, and resolution management

• Conducts investigations as required

• Ensure training documentation is regularly reviewed to maintain accuracy and align with current standards and operational practices

• Assumes other activities and responsibilities from time to time as directed

Knowledge and Abilities Requirements:

• History of strong performance and quality assurance scores

• Exceptional verbal and written communication and presentation skills

• Ability to deliver excellent customer service

• Ability to multi-task and prioritize daily workload within a fast-paced, high pressure, deadline driven environment

• Exemplary planning, time management, organizational and attention to detail skills

• Strong interpersonal skills with the ability to effectively collaborate with others and within a team environment

• Demonstrates exceptional analytical thinking and critical thinking skills in diagnosing and resolving complex issues

• Proficient knowledge of Microsoft products (Word, Excel, PowerPoint, Outlook)

Education and Experience:

• High School Diploma or equivalent

• Experience in quality management system and quality system audits

• 2 years of experience in healthcare, insurance, or other highly regulated industry is preferred

License and Certification: N/A

Driving Essential: No

Position Demands:

This position requires sitting, bending, and stooping for up to 8 hours per day in an office setting. Ability to lift and move objects weighing up to 20 lbs. Ability to learn technical material. The person in this position occasionally needs to move about inside the office to access filing cabinets, office machinery, etc. Must be able to operate a computer and other office productivity machinery such as a calculator, copy machine, printer, etc. The person in this position frequently communicates with guests, team members, and vendors and must be able to exchange accurate information.

Equal Employment Opportunity:

ProPeer is a veteran-owned Company and provides Equal Employment Opportunities (EEO) to all Team Members and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender (including gender identity), pregnancy, childbirth, or a medical condition related to pregnancy or childbirth,  national origin, age, disability, genetic information, status as a covered veteran in accordance with applicable federal, state, and local laws, or any other characteristic or class protected by law and is committed to providing equal employment opportunities. The company complies with applicable state and local laws governing non-discrimination in employment. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, promotion, discharge, pay, fringe benefits, membership, job training, classification, and other aspects of employment. Team Members who believe they are the victims of discrimination should immediately report the concern to their Supervisor and Human Resources Department. Discrimination and harassment will not be tolerated.

We are committed to creating an inclusive environment for all Team Members and applicants. We value the unique skills and experiences that veterans bring to our team and encourage veterans to apply.  

Disclaimer:

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of our personnel. All team members may be required to perform duties outside of their normal responsibilities from time to time, as needed.