QA Coordinator

Position Overview The QA Coordinator ensures patient files are complete, accurate, compliant, and audit-ready by reviewing documentation, therapy changes, authorizations, operational workflows, and supporting clinical notes. This role acts as the final line of defense in preventing denials and ensuring operational accuracy. This is an excellent opportunity for someone with experience in specialty pharmacy, infusion operations, benefits verification, authorizations, or medical insurance workflows who enjoys detail-oriented work and critical thinking.

Details:

Shift:

Mon-Fri (8:30am-5pm),

Onsite Location:

Plano, TX Pay:

$24.00 - $27.00 Key Responsibilities Review completed patient work orders for accuracy and completeness Audit documentation to ensure files are compliant and audit-ready Verify authorizations, approvals, therapy changes, and operational documentation align correctly Review provider and pharmacist progress notes to ensure therapy interventions are properly supported Investigate discrepancies across multiple systems and portals Validate approved services and assist with accurate patient co-pay quoting Identify missing documentation, inconsistencies, or operational gaps that could lead to denials Collaborate cross-functionally with operational, insurance, pharmacy, and QC teams Maintain strong attention to detail while managing high-volume documentation review workflows Qualifications Experience in specialty pharmacy, infusion pharmacy, healthcare operations, or medical insurance workflows preferred Knowledge of prior authorizations, benefits verification, medical benefits, or reimbursement processes strongly preferred Strong critical thinking and problem-solving skills Ability to work independently in a fast-paced, detail-oriented environment Comfortable reviewing large amounts of documentation across multiple systems Strong organizational and communication skills High attention to detail and auditing mindset

For California Applicants:

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). This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. 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.