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Quality Assurance & Audit Analyst
Location:
Alexandria, MN
Description:
Full Time; Monday-Friday This position is responsible for the analysis and review of claim system and related controls, including testing parameters and reviewing claims business processes for adherence to departmental policies and procedures. The Quality Assurance & Audit Analyst conducts such analyses using a wide variety of data, develops conclusions, and provides recommendations to management. The position applies analytical, conceptual, and logic skills to business concepts and develops them into operational methods. In addition, the Quality Assurance & Audit Analyst is responsible for coordinating the review of regulatory notifications from the Centers for Medicare & Medicaid Services (CMS) and the Minnesota Department of Human Services (DHS) pertaining to claims operations, as well as coordinating the review of encounter data processing exceptions. Educational Requirements and Required Qualifications * At minimum, two years of post-high school education in business or a field of study related to health care and/or claims administration; may substitute experience in health care billing or claims payment administration on a year-for-year basis. Two or more years of health care claims or claims-related experience in a position with a health care claims payer organization or provider billing environment preferred.* Ability to efficiently navigate the Internet, as well as navigate PrimeWest Health claims and claims-related systems* Demonstrated knowledge of, and proficiency in, Word, Excel, and Outlook required. Use of other applications as needed.* Flexibility and ability to handle multiple tasks. Demonstrated organizational skills and attention to detail. Ability to work effectively with a variety of people both within and outside of the organization. Excellent verbal and written communication skills.* Ability to sit at a desk or computer station most of the time. Ability to occasionally lift and/or carry such articles as file folders and small boxes up to 25 pounds. Infrequent travel may be required.Located in Alexandria, just over two hours northwest of Minneapolis-St. Paul on I-94, you have the opportunity to work and live where thousands come to play and vacation in the heart of Minnesota's lake country. PrimeWest Health offers competitive salaries and benefits, including life, health, vision, and dental insurance. There's also paid vacation and sick time, a modern and motivating office building with cutting-edge technology, and an on-site fitness center.PrimeWest Health will accept resumes until position is filled. EOE recblid 2nrnn0tz6prubv4b77kn4spx80z39i
Company:
Primewest Health
Posted:
January 1 on Recruitology
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More About this Listing: Quality Assurance & Audit Analyst
Quality Assurance & Audit Analyst is a Quality Assurance QA Job at Primewest Health located in Alexandria MN. Find other listings like Quality Assurance & Audit Analyst by searching Oodle for Quality Assurance QA Jobs.
Quality Assurance & Audit Analyst is a Quality Assurance QA Job at Primewest Health located in Alexandria MN. Find other listings like Quality Assurance & Audit Analyst by searching Oodle for Quality Assurance QA Jobs.