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Quality Assurance Auditor 2

Company: Coventry
Location: Sacramento
Posted on: January 15, 2022

Job Description:

Company Overview The Enlyte Family of Businesses Mitchell - Genex - Coventry Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve. Our suite of products and services enable our employees to help people recover from challenging life events, while providing opportunities for meaningful impact and career growth. Job Description This is a remote position and can be located anywhere in the US. Performs audits to ensure the Rep's are in compliance with current client workflows, department policy and procedures. -

  • Auditing WCMS Topics to ensure accuracy
  • Provides Feedback to Team Leads and Supervisors
  • Provides monthly reports to Supervisors on the accuracy of Reps via Monthly QA team results
  • Performs pricing verifications, provider data verification, PPO rates verification -and QI Complaints
  • Answer general questions from outside parties -
  • Review all documents with client workflow, Dept. Policies and Procedures, Job Aids during the audit process to determine if an error occurred Qualifications
    • WCMS - MCPS - CPD - PCM - TALIS - experience
    • Auditing experience
      • Preferred Qualifications:
      • Demonstrated PC skills including Microsoft Office products and Internet navigation skills, and Basic Excel
      • Demonstrated effective communication skills, both verbal and written
      • Experience with WCMS & ETQ preferred
      • High school diploma/GED required, Bachelors preferred Benefits We're committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. If you are a Colorado resident, you may request additional information about the compensation for this role by emailing: for assistance. - The Company is an equal opportunity employer, values the diversity of our workforce and the knowledge of our people. The Company does not discriminate against an applicant or employee on the basis of race, color, religion, national origin, ancestry, sex/gender, age, physical or mental disability, military or veteran status, genetic information, sexual orientation, gender identity, gender expression, marital status, or any other characteristic protected by applicable federal, state or local law. #LI-FP1 #LI-Remote #MIT

Keywords: Coventry, Sacramento , Quality Assurance Auditor 2, Accounting, Auditing , Sacramento, California

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