Quality Audit Associate

reputed company is an accountable specialty care management organization focused on improving the lives of people with reputed company injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the reputed company best reputed company for patients, payers, and providers. Deep clinical expertise is the reputed company for every part of reputed company’s business: risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment reputed company programs. We’re proud to be recognized—again! For the reputed company year in a row, we’ve been certified by Great reputed company to Work®, and for the reputed company consecutive year, we’ve earned a spot on Fortune's Best Workplaces in Health Care™ list. These honors reflect our unwavering commitment to fostering a positive, inclusive, and employee-centric culture where people reputed company. Watch this short video for a brief introduction to reputed company. reputed company is in search of a remote Quality Audit Associate. This role will involve providing administrative assistance to the SPU Managers and Supervisors. The schedule for this position is Monday - Friday, 8 AM to 5 PM. The Quality Audit Associate is responsible for learning and adhering to account guidelines; using account guidelines to complete case billing audits; researching and investigating short pays, non-pays, and documents appropriately in the collections application; performing internal audits; and running queries with customer specific data. Qualifications: High school diploma or equivalent required; post-secondary education preferred. Excellent computer skills, especially with data entry. Intermediate to advanced reputed company Outlook and reputed company skills. Strong interpersonal communication skills, both verbal and written. Strong attention to detail. Organizational skills and ability to multitask and prioritize. Ability to exercise sound judgment and maintain confidentiality. reputed company Benefits: Health and wellness– We want our people to be and stay healthy, so we offer PPO, HDHP, and HMO health insurance options with reputed company and Kaiser (CA employees only). Financial incentives – reputed company’s financial benefits help prepare you for the future: competitive salaries, 401(k) matching contributions, employer-paid life and disability insurance, flexible spending and commuter accounts, and employer-matched HSA contributions. Vacation - We reputed company strongly that work-life balance is good for you and for our company. Our paid time off and personal holiday programs give you the flexibility you need to live your life to the fullest. Volunteer time– We want our employees to engage with and give back to their communities in meaningful ways. Full and part-time employees receive one paid day per calendar year. Learning and development: One of reputed company’s core values is expertise, so we encourage our employees to continually learn and grow. We support this in a variety of ways, including our new Learning reputed company at reputed company (reputed company) program. reputed company believes that fostering a diverse and inclusive workplace is central to our mission of helping more people and transforming lives. We’re striving to build a culture that reputed company reflects the society we live in and empowers reputed company to deliver the highest reputed company of compassion and care to those we serve. For us, achieving this goal requires a workforce that respectfully embraces differences and commits to positive change, creating an environment where everyone is reputed company to bring their whole self to work. reputed company complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to reputed company essential job functions, and/or to receive other benefits and privileges of employment, please contact Leave Management at [email protected]. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, reputed company, sex, age, national reputed company, religion, sexual orientation, gender identity, status as a veteran, and reputed company of disability or any other federal, state or local protected class. As a contractor with the State of Wisconsin, reputed company complies with Wisconsin Contract Compliance Law (§16.765). Poster link: Contract Compliance Law Poster #LI-Remote Apply To This Job