QA Specialist III – Client Success

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Trend Health Partners

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2018

🏥 Healthcare

⚕️ Healthcare Insurance

💳 Fintech

💰 Private Equity Round on 2023-01

Healthcare • Healthcare Insurance • Fintech

Trend Health Partners is a healthcare technology company focused on enhancing payer-provider collaboration to improve financial management in healthcare. By leveraging AI-enabled technology, Trend Health Partners offers solutions to reduce credit balances, minimize payment denials, and ensure payment accuracy, ultimately fostering better relationships among stakeholders in the healthcare ecosystem. With a commitment to neutrality and efficiency, they aim to reshape the healthcare financial landscape for the benefit of providers, payers, and patients alike.

📋 Description

• Apply advanced knowledge of payer requirements, client-specific guidelines, and quality assurance methodologies across a broad range of overpayment types and clients. • Perform quality assurance reviews of the highest complexity overpayments requiring advanced analysis, interpretation, and validation and update activities directly in client systems. • Evaluate root cause determinations, calculations, and supporting documentation to ensure adherence to quality standards and client requirements. • Serve as a subject matter resource for quality review scenarios and client-specific requirements. • Support onboarding and development of new team members through knowledge sharing and best-practice recommendations. • Identify quality trends, recurring errors, and operational risks, and recommend process improvements to enhance quality, efficiency, and consistency. • Participate in New Client Implementation and the Quality Assurance Review of new clients from project initiation by collaborating with operational leadership, implementation teams, Client Success, and other stakeholders to understand new client expectations, workflows, and quality requirements.

🎯 Requirements

• Bachelor’s degree in business, healthcare, or a related field. Demonstrated experience in the healthcare field may be substituted for education requirement. • Solid knowledge of overpayment recovery services. • Strong analytical skills • Team player with a strong desire to be an active long-term participant in the growth of the firm overall. • Ability to learn quickly, make an immediate impact and provide value-added service. • Attention to detail. • Experience working under tight deadlines

🏖️ Benefits

• highly valued health insurance • 401(k) plan with employer match • paid parental leave