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Building quality global teams that drive efficiency and results
QA Specialist
Location
South Africa
Posted
57 days ago
Salary
0
Seniority
Mid Level
Job Description
QA Specialist
ReWorks Solutions
• Conduct regular audits of clinical documentation, session notes, treatment plans, and assessments to ensure accuracy and compliance • Review submitted claims and supporting documentation for completeness and alignment with payer requirements • Identify errors, inconsistencies, or missing information and coordinate corrections with relevant team members • Ensure adherence to ABA best practices, company policies, and insurance guidelines • Monitor compliance with authorization requirements and service delivery standards • Collaborate with BCBAs, RBTs, and administrative staff to resolve documentation or billing discrepancies • Track and report on audit findings, trends, and areas for improvement • Develop and implement quality improvement initiatives and standard operating procedures (SOPs) • Provide feedback and training to staff on documentation quality and compliance standards • Stay up to date with changes in ABA regulations, payer requirements, and industry best practices
Job Requirements
- Bachelor’s degree in Psychology, ABA, Healthcare Administration, or a related field (Master’s preferred)
- Certification as a BCBA, BCaBA, or relevant ABA experience is highly preferred
- 2–4+ years of experience in ABA services, quality assurance, or compliance roles
- Strong knowledge of ABA terminology, clinical documentation, and insurance processes
- Experience with ABA practice management systems (e.g., CentralReach, Rethink, Catalyst)
- Familiarity with Medicaid and commercial insurance requirements (U.S. market preferred)
- Excellent attention to detail and analytical skills
- Strong written and verbal communication skills
- Ability to work independently and manage multiple priorities
- Proficiency in Microsoft Office and reporting tools
Benefits
- Comfortable working U.S. hours
- Remote work from home
- Fraud Disclaimer: ***ReWorks Solutions will never request payment during recruitment or require in-person office visits. All official communication will come from a ReWorks Solutions email address. Please verify any suspicious messages with our team directly.
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