Claims Quality Analyst & Process Improvement

Integra Partners; Michigan; Hybrid; USD 27,276,480 - 38,848,320; Full time

Benefits offered by this job

401(k) retirement program with company match

Competitive compensation

Paid Time Off (PTO)

Job summary

Integra Partners is seeking a Claims Quality Assurance Analyst in Michigan to monitor and document production quality, focusing on claims auditing within Revenue Cycle Management. The role requires prior healthcare claims auditing experience and knowledge of billing practices.

The analyst will prepare quality reports, provide feedback to leadership, and assist in training personnel. Benefits include competitive compensation, 401(k), and medical coverage.

Qualifications

• Minimum of 1 year of claims auditing experience with commercial, Medicaid, and Medicare.
• Strong understanding of QA processes and billing regulations.
• Excellent verbal and written communication skills.

Responsibilities

• Monitor claims quality and conduct audits to ensure compliance.
• Support design and maintenance of quality monitoring standards.
• Analyze quality metrics and report findings to leadership.

Skills

Claims auditing

Quality assurance methodologies

Data analysis

Communication skills

Bilingual (Spanish/English)

Education

Bachelor’s Degree or equivalent experience

Tools

Word

Excel

PowerPoint

Job description

Integra Partners is seeking a Claims Quality Assurance Analyst in Michigan to monitor and document production quality, focusing on claims auditing within Revenue Cycle Management. The role requires prior healthcare claims auditing experience and knowledge of billing practices.

The analyst will prepare quality reports, provide feedback to leadership, and assist in training personnel. Benefits include competitive compensation, 401(k), and medical coverage.