QA Auditor: Collections & Quality Improvement

Wet Willie's; Miami (FL); On-site; USD 52,000 - 66,000; Full time

Benefits offered by this job

Certifications in QA a plus

Job summary

Wet Willie's in Miami, FL seeks a Quality Assurance Collections Specialist to audit collectors and ensure denials and no responses are accurate. You will develop, monitor and improve corrective actions within the collections department to uphold quality standards.

Key duties include drafting QA policies, evaluating data, and reporting outcomes. Strong knowledge of insurance payment regulations, HIPAA, and Excel is desirable. This role emphasizes detail, compliance, and collaboration across teams.

Qualifications

• Strong understanding of insurance payment regulations, including reimbursement schemes, coinsurance and deductibles.
• Working knowledge of HIPAA regulations and compliance.
• Experience with audits, quality assurance, and process improvement.
• Ability to analyze quality data and identify corrective actions.

Responsibilities

• Achieve or exceed department goals and support director directives.
• Develop, monitor and implement corrective and preventive actions.
• Draft QA policies and procedures for the collections team.
• Interpret and apply quality assurance standards across audits.
• Evaluate adequacy of QA standards and audit findings.
• Document internal audits and quality activities.
• Investigate customer complaints and non-conformance issues.
• Collect and report statistical quality data.
• Coordinate training needs based on QA findings.

Skills

Attention to detail

Multitasking

Data analysis

Verbal communication

Written communication

Planning & organizing

Team collaboration

Education

BS/BA or equivalent

Tools

Microsoft Outlook

Microsoft Word

Microsoft Excel

Job description

Wet Willie's in Miami, FL seeks a Quality Assurance Collections Specialist to audit collectors and ensure denials and no responses are accurate. You will develop, monitor and improve corrective actions within the collections department to uphold quality standards.

Key duties include drafting QA policies, evaluating data, and reporting outcomes. Strong knowledge of insurance payment regulations, HIPAA, and Excel is desirable. This role emphasizes detail, compliance, and collaboration across teams.