Heathcare- Quality Assurance Specialist Non IT
Description
This role will have the responsibility of quality testing all of the benefit plans. They will work in tandem with the Account Install team as they build the plan. This person will then be working within a few systems to make sure the plan is built out correctly and to the specs of the client. If the plan is missing something or plan is built incorrectly they will then work with their counterpart in the AIS group to get it fixed. The most common issues they find are deductibles and out of pockets not being set up correctly, mail pricing being different etc. This role has a very high level of attention to detail, there is no phone work. They may communicate internally back and forth with their team / AIS reps but that will be it. They will have a scorecard once out of training. They will be expected to work 25 plans a week. This is a non-IT position falling under the operations vertical.
Skills
Quality assurance, Data Entry, QA, Claims processing, Microsoft office, Excel, Audit, research, Medical record, Medical term
Top Skills Details
Quality assurance, Data Entry, QA, Claims processing, Microsoft office, Excel, Audit, research
Minimum Requirements
Additional Skills & Qualifications
Two or Four year degree required
Preference given to Math, Biology, business, healthcare admin, or History degrees. Anything with a large background in research for the degree
1 year of Excel experience (No V lookups or Pivot Tables)
Preferred Experience
3+ years of health care insurance experience.
Knowing medical terminology, deductible, copay, provider language will help them stand apart.
Experience in a production based environment is a plus. They do run a scorecard, roughly 25 plans worked a week is the standard.
- Must have 1 year of excel experience and pass the test.
- Not looking for someone coming from call center or QA in call center.
Experience Level
Intermediate Level
Pay And Benefits
The pay range for this position is $24.00 - $24.00/hr.
Requirements
- Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
- Medical, dental & vision
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully remote position.
Application Deadline
This position is anticipated to close on Apr 24, 2025.
About TEKsystems
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
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