RESPONSIBILITIES:Kforce is looking for a Quality Assurance Specialist for a client in the Denver Tech Center, Colorado (CO)! This is a contract to hire opportunity with a growing organization!
The purpose of the Quality Assurance Specialist position is to help drive quality and productivity in the production of medical claims data and to assure both accuracy and timeliness in all CBO claims submissions. The Quality Assurance Specialist will specifically focus on adherence to all USAP billing compliance policies and maintain strict oversight of governmental payer requirements. This will be done through designed process audits, written reports and analysis of the reports as needed.
Work products and outputs will include detailed audits and reports to identify process and quality deficiencies, analysis and recommended plans of actions to improve audited processes, as well as to prescribe training needs. The Quality Assurance Specialist will assist Management in routine reviews of policies and procedures and the implementation of improvement plans as needed.
- High School diploma or equivalent
- Associate's or Bachelor's degree in a Business or Health related field is preferred
- Must have minimum of 2 years billing or collections experience in the health care field
Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.