Quality Assurance Trainer II - Bluecard

Hybrid Work Environment - Must reside in Hawaii

Pay Range: $47,500 - $88,000

Note:

Individuals typically begin between the minimum to middle of the pay range

Performs audits to ensure accuracy and consistency in the operational areas. Works with management to review and analyze audit findings and follow‑up on corrective actions, training and documentation as required. Participate in discussions with management team and subject matter experts to develop recommendations on enhancing system processing and desktop procedures.

• Associate's degree and two years of related work experience; or an equivalent combination of education and related work experience.
• Strong verbal and written communications skills.
• Working knowledge of medical terminology, health industry coding systems (procedure and diagnosis codes, etc.), CMS
  1500 or UB04 claim forms.
• Ability to develop reference and training documentation.
• Ability to coach/train staff and track and evaluate effectiveness of training.
• Keyboard and typing skills with low error rate.
• Intermediate knowledge of Microsoft Office applications, including but not limited to Word, Excel, Outlook, and PowerPoint.

• Conduct audits in the operational areas.
  • Monthly audits to monitor controls and performance.
  • Document and review findings with operational staff and management.
  • Track audit results and spot error trends to identify training needs and process improvements.
• Perform other functions.
  • Identify specific case/scenarios beneficial for information sharing and lead discussions of case/scenario in unit meetings.
  • Conduct audits for new hires and operational staff learning new functions, transitioning to new system changes or processing procedures.
  • Develop reference and training documentation and conduct training for our operational staff.
  • Track and perform post‑training audit to ensure training effectiveness.
  • Respond to simple audit findings or inquiries from internal departments. Work with management, review findings, conduct root cause analysis, and execute follow‑up action.
  • Triage simple questions and issues raised by operational staff. Perform root cause analysis of processing issues. Collaborate with management and subject matter experts to resolve production issues.
• Support business or system changes.
  • Review and contribute to business requirements or system changes. Represent our operational area in meetings to discuss requirements.
  • Participate on project testing activities to include development of test cases, submitting test claims, validating and approving test results. Support project rollout to the operational areas.
  • Review documents and attend meetings relating to business requirements or system changes.
• Regularly participate in process and operational improvement activities. Complete or participate in corporate training, compliance certification or initiatives as directed by management.
• Perform all other miscellaneous responsibilities and duties as assigned or directed.

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