Quality Control Executive (5151)

• Understand/recognize valid medical records for each process assigned
• Read the valid documents and verify the member information considering all possibilities
• Highlight diagnosis and identify correct page type according to procedure
• Go through respective error reports on a priority basis; understand the feedback and make sure the errors are not getting repeated
• Achieve productivity target on a daily basis for all the projects assigned
• Maintain required quality/accuracy/efficiency on a consistent basis for all the projects assigned
• Be part of a silent work atmosphere to help oneself as well as the team to perform better
• Report to supervisor on all the job-related events

Requirements

Qualifications: 

• A High School Diploma or GED is required. 
• Must be able to communicate effectively in the English language. 
• Administrative experience in Work from home; previous back-office experience release of information/medical records, or other related experience in a healthcare environment is preferred. 
• Proven customer service experience and/or training. 
• Ability to effectively use computer software and technology as per business needs including Microsoft Word and Excel 
• Ability to understand and become knowledgeable of record retrieval process, policies and HIPAA regulations and to complete work in compliance of these and other standards. 
• Ability to read and comprehend simple, healthcare terminology 
• Effective verbal and written communication skills. 
• Effective organizational skills a must 
• Advantmed will supply selected candidates with the necessary systems and headphones for carrying out this role.