Medicare Advantage Claims Quality Control Reviewer

Mass General Brigham Health Plan Holding Company, Inc.

Not specified
$25.50 - $36.49phly; not specified; not specified
Fully remote
Quality control of claims processing
Experience with medicare regulations
Strong analytical abilities
This role supports the quality control of claims entry and processing to identify claims processing errors and remediation prior to payment or denial

Job Summary

  • This role supports the quality control of claims entry and processing to identify claims processing errors and remediation prior to payment or denial.
  • The position involves monitoring Quality Control of Claims Operations and reporting all related metrics.
  • Mass General Brigham invites applicants to join a mission-driven organization that values exceptional care and teamwork.

Matching Summary

This role supports the quality control of claims entry and processing to identify claims processing errors and remediation prior to payment or denial.

Salary

$25.50 - $36.49/Hourly; Not specified; Not specified

Skills & Requirements

Must-have

  • Quality control of claims processing
  • Experience with Medicare regulations
  • Strong analytical abilities

Nice-to-have

  • Excellent communication skills
  • Experience in trend analysis
  • Ability to develop quality control processes

Key Requirements

  • Bachelor's Degree preferred
  • 2-3 years of quality control experience
  • 2-3 years of Medicare Advantage claims processing experience

Work Rights

Not specified

Tailored Resume

Cover Letter