Quality Assurance Trainer II - Bluecard

Job Summary

Hybrid Work Environment - Must reside in Hawaii. Performs audits to ensure accuracy and consistency in the operational areas. Works with management to review and analyze audit findings and follow-up on corrective actions, training and documentation as required. Participate in discussions with management team and subject matter experts to develop recommendations on enhancing system processing and desktop procedures.

Minimum Qualifications

• Associate's degree and two years of related work experience; or an equivalent combination of education and related work experience.
• Strong verbal and written communications skills.
• Working knowledge of medical terminology, health industry coding systems (procedure and diagnosis codes, etc.), CMS1500 or UB04 claim forms.
• Ability to develop reference and training documentation.
• Ability to coach/train staff and track and evaluate effectiveness of training.
• Keyboard and typing skills with low error rate.
• Intermediate knowledge of Microsoft Office applications, including but not limited to Word, Excel, Outlook, and PowerPoint.

Duties and Responsibilities

• Conducts audits in the operational areas to include:
  • Monthly audits to monitor controls and performance.
  • Document and review findings with operational staff and management.
  • Track audit results and spot error trends to identify training needs and process improvements.
• Perform other functions to include:
  • Identify specific case/scenarios beneficial for information sharing and lead discussions of case/scenario in unit meetings.
  • Conducts audit for new hires and operational staff learning new functions, transitioning to new system changes or processing procedures.
  • Develop reference and training documentation and conduct training for our operational staff.
  • Track and perform post-training audit to ensure training effectiveness.
  • Respond to simple audit findings or inquiries from internal departments.
• Working with management, review findings, conduct root cause analysis, and execute follow-up action.
• Triage simple questions and issues raised by operational staff. Perform root cause analysis of processing issues. Collaborate with management and subject matter experts to resolve production issues.
• Support business or system changes:
  • Review and contribute to business requirements or system changes.
  • Represent our operational area in meetings to discuss requirements.
  • Participate on project testing activities to include development of test cases, submitting test claims, validating and approving test results.
  • Support project rollout to the operational areas.
  • Review documents and attend meetings relating to business requirements or system changes.
• Regularly participate in process and operational improvement activities.
• Complete or participate in corporate training, compliance certification or initiatives as directed by management.
• Performs all other miscellaneous responsibilities and duties as assigned or directed.

Pay

Pay Range: $47,500 - $88,000. Individuals typically begin between the minimum to middle of the pay range.