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Bedford, MA

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Now viewing: Quality Assurance Specialist Benefit Verification Healthcare (Contract)
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Medix Staffing Solutions

Quality Assurance Specialist Benefit Verification Healthcare (Contract)

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Job Description

Company/Role Summary We are seeking a Quality Assurance Specialist with expertise in electronic and manual benefit verifications to join a streamlined healthcare team. In this role, you will review automated platform alerts, perform manual outreach to insurance providers, and ensure complete, accurate coverage details for patient records.
Job Details & Compensation Pay Rate:
$20.00 / hour
Contract Duration:
Temporary Contract (December
  • March, with potential for extension based on business needs)
Work Location:
Local Candidates (Must reside within 50 miles of the facility for equipment pickup/drop-off)
Schedule:
Tech Pickup:
Nov 30
  • Dec 3
Training:
Dec 7
  • Dec 11 (Monday
  • Friday, 8:00 AM
  • 5:00 PM CST)
Post-Training Schedule:
Must be available to work any 8-hour shift between 7:00 AM
  • 7:00 PM CST, Monday
  • Friday (Includes a 1-hour unpaid lunch)
Go-Live:
First week of January Key Responsibilities Perform electronic and manual benefit verifications to confirm accurate, complete patient coverage details. Review and resolve incomplete verifications flagged by the automated platform. Contact insurance providers directly via phone in a high-call-volume environment to gather missing or complex benefit information. Validate coverage details to maintain high quality standards across all patient verification records. Required Qualifications 4+ years of Benefit Verification experience from a Payer/PBM background. Hands-on experience with manual benefit verifications . Demonstrated experience with both commercial and government payers. Proven ability to thrive in a high call volume, fast-paced environment. High School Diploma or GED. Strong critical thinking, problem-solving skills, and rapid computer proficiency. Preferred Qualifications Familiarity with medical vs. pharmacy benefits and
ICD-10/CPT
coding. Prior quality assurance, auditing, or peer review experience. Associate or Bachelor's degree in Healthcare Administration or a related field.
Role Requirements & Onboarding Notes Equipment:
Client-provided IT equipment must be picked up and dropped off in person. A $300 refundable security deposit is required ($50 deducted weekly over 6 weeks).
Credentialing:
Candidates must pass a mandatory credentialing assessment (up to 2 attempts allowed, typically administered around late December) to remain on the assignment.
Attendance:
Required participation in a mandatory orientation session in late November. Due to the short-term nature of this project, no time off is permitted during the contract (limited accommodations for single, pre-planned medical appointments given advance notice).
Interview Process:
30-minute virtual Microsoft Teams interview.
  • We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
  • As a job position within our Insurance division, a successful completion of a background check may be required as a condition of employment.
This requirement is directly related to essential job functions including but not limited to: accessing medical and confidential records, verifying financial information, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients

Benefits

  • Dental Insurance