Company:
KRG Technologies Inc.
Location: Scottsdale
Closing Date: 29/10/2024
Salary: £150 - £200 Per Annum
Hours: Full Time
Type: Permanent
Job Requirements / Description
Job Description
Quality Lead
Location: Scottsdale, AZ
Duration: till end-Sep with very high probability of extensions.
Responsibilities:
- Managing the performance of contingent staff.
- Monitoring the production and quality of processed claims to ensure all CMS and Contractual standards are met.
- Managing inventory by assigning work and setting up daily goals for quality coordinators.
- Helping supervisor in creating error reports, pareto charts, and working with the processing team to provide feedback for coaching opportunities.
- Tracking individual performance based on claims reviewed and errors missed for contingent resources.
- Providing feedback to contingent staff.
- Resolving daily impediments to ensure flawless execution of the quality control process.
- Responsible for 25% of the time to do actual quality control execution work for high-risk clients.
- Overseeing any department issues and working with internal partners to track the resolution of any issues.
Required Qualifications:
- 3+ years of experience in the health care industry
- 1+ years of experience in quality control and claims audit
- 1+ years of supervisory experience
- 1+ years of experience working with Excel, Word, and PowerPoint
- 1+ years in a role requiring an understanding of Human Resource policies
Preferred Qualifications:
- 1+ years previous experience in pharmacy and/or medical claims processing
- Experience with Med D regulations
- Ability to run a high volume production team with an emphasis on quality output
- Excellent verbal and written communication skills
- Ability to interact with internal partners and clients in a professional manner
- Ability to make sound operational decisions in a fast-paced, high-stress environment
Additional Information
All your information will be kept confidential according to EEO guidelines.
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KRG Technologies Inc.