Quality Assurance Analyst

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Highmark Health

10,000+ employees

Founded 1852

⚕️ Healthcare Insurance

🤝 Non-profit

🌍 Social Impact

💰 $5M Grant on 2021-05

Healthcare Insurance • Non-profit • Social Impact

Highmark Health is a healthcare company committed to reinventing the healthcare system and improving its services for everyone. The organization offers a broad range of career opportunities across various fields such as clinical care, technology, finance, and marketing. Highmark Health emphasizes diversity, equity, and inclusion in its workforce, creating a supportive environment for employees from all backgrounds. The company has been recognized for its commitment to disability inclusion, diversity, and military-friendly employment. As an independent licensee of the Blue Cross Blue Shield Association, Highmark Health strives to create remarkable healthcare experiences for its customers and employees alike.

📋 Description

• Perform a complete review and analysis of transactions as required by all regulatory compliance guidelines • Manage individual inventory of audit work to meet department quality standards • Participate in special project work as needed • Maintain scorecard entries in audit tool accurately and consistently meet all production standards established in departmental protocol • Share relevant information with the team when received individually through normal work channels

🎯 Requirements

• Required High School Diploma/GED • 3 years in Claims Support and Processing • 3 years in Customer Service • 3 years in Billing • 3 years in Enrollment • 3 years in Benefits Administration • 3 years in Utilization Management

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