Quality Control Executive (5151)

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Requirements:

• A High School Diploma or GED is required.
• Must be able to communicate effectively in the English language.
• Administrative experience in a work-from-home setting is preferred, especially in back-office roles related to medical records.
• Proven customer service experience.
• Ability to effectively use computer software and technology including Microsoft Word and Excel.
• Knowledgeable about record retrieval processes, policies, and HIPAA regulations.
• Ability to read and comprehend simple healthcare terminology.
• Effective verbal and written communication skills.
• Strong organizational skills are a must.

Responsibilities:

• Understand and recognize valid medical records for each process assigned.
• Read valid documents and verify member information considering all possibilities.
• Highlight diagnosis and identify the correct page type according to procedure.
• Go through respective error reports on a priority basis, understand feedback, and ensure errors do not repeat.
• Achieve productivity targets daily for all assigned projects.
• Maintain required quality, accuracy, and efficiency consistently across all projects.
• Work in a silent environment to improve personal and team performance.
• Report job-related events to the supervisor.