This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Insurance Quality Assurance (QA) Specialist audits and reviews account representatives’ work to ensure accuracy, compliance with company policies, and adherence to regulatory and client specific requirements. The role supports revenue cycle performance through data analysis, trend identification, and actionable feedback to Operations. Qualifications - Minimum of 3-5 years of experience in revenue cycle management, billing, coding, or quality assurance within a healthcare setting - Internal candidates: minimum of 1 year with Meduit - Experience with nationwide payors and regulations: Medicare, Medicaid, and commercial payor experience - Proficiency with Microsoft Office - Download speed of 30MB or higher & upload speed of 10MB or higher are REQUIRED - Access to a Secure and Private workspace Requirements - Conduct audits across multiple projects to assess account accuracy, documentation quality, billing and coding practices, and adherence to standard operating procedures and workflows - Verify claims, validate data integrity, and evaluate compliance with regulatory and client specific guidelines - Analyze audit results to identify error trends, discrepancies, and opportunities for improvement - Document clear, accurate audit findings and recommendations, highlighting training needs and process improvement opportunities - Provide reporting and feedback to Operations to support performance improvement and compliance - Maintain strict confidentiality and security of patient and company information - Meet established daily, weekly, and monthly productivity and quality targets Benefits - Comprehensive paid training - Medical, dental, and vision insurance - HSA and FSA available - 401(k) with company match - Paid Wellness Time and Holidays - Employer paid life insurance and long-term disability - Internal growth opportunities

• Diseñar, ejecutar y documentar casos de prueba basados en requerimientos y criterios de aceptación. • Realizar pruebas funcionales, de integración y de regresión. • Identificar, reportar y dar seguimiento a defectos, asegurando su correcta resolución. • Documentar evidencia de pruebas de forma clara, ordenada y trazable. • Colaborar activamente con equipos de Desarrollo, Producto, QA y BA. • Participar en ceremonias ágiles bajo marcos Scrum y/o Kanban. • Brindar soporte en iniciativas de automatización de pruebas, con foco en APIs. • Validar datos en bases de datos mediante consultas SQL cuando sea necesario. • Proponer mejoras en procesos de testing, calidad y buenas prácticas.

• Champion and institutionalize practices such as Definition of Ready, Example Mapping, Specification by Example, and Spec-Driven Development. • Actively contribute to API and UI automation disciplines. • Partner closely with Engineering, Product, Technical Program Management, Customer Success, and the Senior Manager of Quality Engineering to establish foundational behaviors that enable long-term quality maturity, automation excellence, regulatory traceability, and future AI-enablement. • Lead and facilitate Definition of Ready (DoR) workshops. • Conduct Example Mapping and Specification by Example sessions. • Convert ambiguous requirements into structured, testable specifications. • Establish shared vocabulary and ubiquitous language across teams. • Create reusable facilitation templates, examples, and playbooks. • Coach Product Managers and Engineers on behavior-focused acceptance criteria. • Embed Spec-Driven Development (SSD) practices within backlog refinement workflows. • Design and implement API test strategies aligned to structured specifications. • Contribute to RESTful API testing using contract validation and schema enforcement. • Improve test data management and environment stability practices. • Ensure requirements-to-test traceability (RTM) is maintained and auditable. • Advocate for deterministic, parallelizable, locally executable tests.

• Thoroughly review treatment plans, progress notes, and other documentation submitted by associate therapists (licensed interns). • Verify that documentation is accurate, complete, and complies with relevant regulatory standards and organizational guidelines. • Monitor and ensure compliance with all applicable laws, regulations, and accreditation standards in the healthcare industry. • Stay up-to-date with industry changes and inform the team in the most effective ways about any updates affecting documentation requirements. • Conduct regular audits to assess the quality of documentation and identify areas for improvement. • Provide constructive feedback to associate therapists and collaborate with them to enhance the quality of their documentation. • Work closely with the leadership team, including clinical supervisors and management, to address any issues related to documentation quality and compliance. • Communicating effectively with providers for documentation coaching and revision purposes prior to co-signature. • Relaying ongoing and urgent matters to CCQAM and other appropriate parties. • Maintain accurate records of all documentation reviews, feedback provided, and corrective actions taken. • Generate reports on the overall quality of documentation and compliance levels.