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Quality Assurance Specialist at GEHA Health - ApplyBlast

Quality Assurance Specialist

GEHA Health

23 days ago

Remote

Full Time

Medior

0 applicants

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About this role

The Quality Assurance Specialist audits claims coding, customer service calls, and electronic files to ensure accuracy, benefit payment, and compliance with policies and procedures. This role involves analyzing audit reports, managing complex provider issues, and recommending improvements to quality and workflow processes. The position requires strong communication skills and proficiency in MS Word and Excel to support departmental training and cross-functional projects.

Responsibilities

Audit claims coding and electronic files for accuracy and compliance
Analyze audit reports to identify trends and recommend process improvements
Manage complex provider issues and prepare responses to correspondence

Skills

About GEHA Health

geha.com

Headquarters

Lake Lotawana, Missouri, United States

Company Size

1001-5000 employees

Founded

1937

View Profile

GEHA (Government Employees Health Association) has served federal employees, military retirees, and their families since 1937, making it the largest benefits association for federal employees. GEHA offers comprehensive health and dental plans under FEHB, PSHB, and FEDVIP programs, with a network of 1.7 million providers nationwide. Their member-founded, member-dedicated model ensures benefits and savings are reinvested to deliver valuable coverage to over 2 million members.