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Medical Quality Assurance Specialist
Location
United States
Posted
2 days ago
Salary
$19 / hour
Seniority
Mid Level
Job Description
Medical Quality Assurance Specialist
TEKsystems
Role Description We are seeking a detail-oriented Medical Quality Assurance Specialist to support quality and compliance initiatives within a fast-paced, regulated environment. This role is responsible for reviewing work outputs, ensuring adherence to established standards, and driving continuous process improvements. The ideal candidate is highly analytical, organized, and thrives in a collaborative setting while maintaining a strong focus on accuracy and compliance. - Conduct quality reviews of case work, reports, and documentation to ensure accuracy, completeness, and compliance with client standards - Identify trends, errors, and process gaps; recommend and implement corrective actions - Monitor production metrics and turnaround times to ensure service level expectations are met - Ensure adherence to federal, state, and regulatory requirements - Maintain detailed quality assurance records, audit logs, and reporting documentation - Investigate quality issues and partner with internal teams to resolve discrepancies - Provide feedback and coaching to staff to improve performance and quality outcomes - Assist with onboarding and training new team members on quality standards and processes - Support documentation preparation for audits, regulatory reviews, and compliance initiatives - Collaborate cross-functionally with operations and stakeholders to enhance quality processes Qualifications - 2+ years of experience in an administrative healthcare position (Patient access, insurance verification, medical assistant, etc.) - Strong attention to detail and analytical mindset - Excellent written and verbal communication skills - Ability to manage multiple priorities in a fast-paced environment - Experience working with data tracking, reporting, or audit processes - Proficiency in Microsoft Office or similar tools Requirements - Experience in healthcare, insurance, or regulated environments - Familiarity with compliance standards and regulatory requirements - Experience reviewing case files, audits, or documentation workflows Benefits - Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave)
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