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Quality Assurance Specialist

Job in Mason, Warren County, Ohio, 45040, USA
Listing for: Global Channel Management, Inc
Full Time position
Listed on 2026-01-01
Job specializations:
  • Quality Assurance - QA/QC
  • Healthcare
    Data Scientist
Job Description & How to Apply Below
About the job Quality Assurance Specialist

Quality Assurance Specialist needs claims , appeals , call center experience

Quality Assurance Specialist requires:

  • Hybrid of 2 days/week
  • Works grievance and appeals
  • Prior work experience (G&A, claims, appeals, call center, etc.)
  • Strong written and verbal communication skills, and health claims processing background

Quality Assurance Specialist duties:

  • Review and resolve member and provider complaints
  • Maintain accurate, complete complaint/grievance records in the electronic database.
  • Coordinates Complaint , preparing the agenda
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