Quality Assurance Representative

Job not on LinkedIn

🔥 1 minute ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $34k - $56k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔧 QA Engineer (Quality Assurance)

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Guidehouse

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2018

💰 Grant on 2023-02

Consulting • Digital Services • Public Sector

Guidehouse is a global consultancy offering advisory, digital, and managed services across commercial and public sectors. It is purpose-built to support industries such as national security, financial services, healthcare, energy, and infrastructure. Guidehouse collaborates with leaders to navigate complexity and drives transformational changes that impact the future. Their expertise spans data analytics, digital technologies, risk management, and more, with a strong emphasis on sustainability and innovation.

📋 Description

• The Quality Analyst role is responsible for reviewing account activity, documentation, billing actions, denials, adjustments, and follow-up processes to ensure accuracy, compliance, and consistency with client and departmental expectations. • This role supports quality improvement by identifying trends, documenting findings, and communicating issues that may impact account resolution or workflow performance. • Review account documentation to ensure notes are complete, accurate, and entered in the appropriate client system. • Audit billing, rebilling, denial follow-up, appeal activity, adjustments, and account resolution actions for accuracy and compliance. • Monitor denials, correspondence, and account trends to identify recurring issues or process gaps. • Validate that demographic, insurance, address, and plan updates are completed correctly and support account integrity. • Ensure work aligns with applicable client requirements, standard operating procedures, HIPAA guidelines, and state or federal regulations. • Document QA findings clearly and communicate trends, errors, or concerns to leadership for review and follow-up. • Support special projects, training opportunities, and process improvement efforts related to quality, accuracy, and workflow performance.

🎯 Requirements

• High School Diploma / GED or 3 years of Relevant Equivalent Experience in Lieu of Diploma / GED • 0-2+ year's experience in office, business, operations, customer service or healthcare field • Previous experience working in insurance portals (nice to have) • PC skills in a Windows environment (nice to have) • Knowledge and utilization of desktop applications to include Word and Excel (nice to have) • Ability to initiate and follow through on projects and work independently with minimal supervision (nice to have)

🏖️ Benefits

• Medical, Rx, Dental & Vision Insurance • Personal and Family Sick Time & Company Paid Holidays • Position may be eligible for a discretionary variable incentive bonus • Parental Leave • 401(k) Retirement Plan • Basic Life & Supplemental Life • Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts • Short-Term & Long-Term Disability • Tuition Reimbursement, Personal Development & Learning Opportunities • Skills Development & Certifications • Employee Referral Program • Corporate Sponsored Events & Community Outreach • Emergency Back-Up Childcare Program