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Part Time Quality Assurance Specialist
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Indianapolis, Indiana |
About this job
Xerox is the world's leading enterprise for business process and document management. Its services, technology, and expertise enable workplaces - from small businesses to large global enterprises - to simplify the way work gets done so they operate more effectively and focus more on what matters most: their real business. Xerox offers business process outsourcing and IT outsourcing services, including data processing, healthcare solutions, HR benefits management, finance support, transportation solutions, and customer relationship management services for commercial and government organizations worldwide. The company also provides extensive leading-edge document technology, services, software and genuine Xerox supplies for graphic communication and office printing environments of any size. Xerox serves clients in more than 160 countries. For more information, visit www.xerox.com, www.news.xerox.com, www.realbusiness.com or www.xerox.com/businessservices.
If you meet the requirements of this position and want to work for a world-class company with a great marketplace reputation, apply today.
Job Duties
Pre and Post Payment audits of all types of medical claims to ensure accuracy of payment/rejection based on contractual policies and procedures
Provides feedback on claims processing errors
Initiates system or coding requests as needed
Responsible for maintaining acceptable levels of inventory and age
Works independently and without significant guidance
Maintains detailed documentation of audits
Analyzing audit results and documenting error trends and concerns to management
Responsible for working with claims specialist to increase or decrease audit percent for individual associates
Identifies opportunities for quality improvement or efficiencies
Responsible for updating and maintaining claims auditor manuals
Manages projects as assigned
Other duties as assigned
Requirements
High School diploma or GED
6 years of previous medical claims processing experience required
2 years of previous medical claims auditing experience required
Ability to read and interpret procedure manuals
Must be organized and work well in a team environment
Medical coding certification preferred
Strong research , analytical and problem solving skills required
Knowledge of medical terminology
Excellent written and verbal communication skills
Good people skills a must
Responsible for activities involving quality assurance and compliance with applicable regulatory requirements.
May perform one or more of the following: Conducts audits and reviews/analyzes data and documentation
Uses the organization's resources to enhance customer satisfaction
Evaluates improvements to various systems
Ensures that data and information are sufficiently accurate and reliable
All other duties as assignedAs a skilled incumbent, completes tasks in resourceful and effective ways.Works on assignments requiring considerable judgment and initiative.
Understands implications of work and makes recommendations for solutions.Determines methods and procedures on new assignments.
May be informal team leader.Typically requires a minimum of 4 - 6 years of related experience.
Xerox is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, sex, marital status, sexual orientation, physical or mental disability, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. People with disabilities who need a reasonable accommodation to apply or compete for employment with Xerox may request such accommodation(s) by sending an e-mail to accommodations@xerox.com. Be sure to include your name, the job you are interested in, and the accommodation you are seeking.
If you meet the requirements of this position and want to work for a world-class company with a great marketplace reputation, apply today.
Job Duties
Pre and Post Payment audits of all types of medical claims to ensure accuracy of payment/rejection based on contractual policies and procedures
Provides feedback on claims processing errors
Initiates system or coding requests as needed
Responsible for maintaining acceptable levels of inventory and age
Works independently and without significant guidance
Maintains detailed documentation of audits
Analyzing audit results and documenting error trends and concerns to management
Responsible for working with claims specialist to increase or decrease audit percent for individual associates
Identifies opportunities for quality improvement or efficiencies
Responsible for updating and maintaining claims auditor manuals
Manages projects as assigned
Other duties as assigned
Requirements
High School diploma or GED
6 years of previous medical claims processing experience required
2 years of previous medical claims auditing experience required
Ability to read and interpret procedure manuals
Must be organized and work well in a team environment
Medical coding certification preferred
Strong research , analytical and problem solving skills required
Knowledge of medical terminology
Excellent written and verbal communication skills
Good people skills a must
Responsible for activities involving quality assurance and compliance with applicable regulatory requirements.
May perform one or more of the following: Conducts audits and reviews/analyzes data and documentation
Uses the organization's resources to enhance customer satisfaction
Evaluates improvements to various systems
Ensures that data and information are sufficiently accurate and reliable
All other duties as assignedAs a skilled incumbent, completes tasks in resourceful and effective ways.Works on assignments requiring considerable judgment and initiative.
Understands implications of work and makes recommendations for solutions.Determines methods and procedures on new assignments.
May be informal team leader.Typically requires a minimum of 4 - 6 years of related experience.
Xerox is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, sex, marital status, sexual orientation, physical or mental disability, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. People with disabilities who need a reasonable accommodation to apply or compete for employment with Xerox may request such accommodation(s) by sending an e-mail to accommodations@xerox.com. Be sure to include your name, the job you are interested in, and the accommodation you are seeking.