Quality Assurance Analyst - Healthcare/Insurance

Southcarolinablues; Columbia (SC); On-site; USD 21,000 - 22,000; Full time

Benefits offered by this job

Medical

Dental

Vision

401K

Job summary

BlueCross BlueShield of South Carolina is seeking an Analyst, Quality Assurance to join our on-site team in Columbia. Under supervision, you will perform quality audits, reviews, and monitoring across claims, membership, and customer service operations, identifying issues and recommending improvements.

Requires a High School Diploma or equivalent and at least 1 year of related claims processing, customer service, auditing, or analysis experience.

Qualifications

• 1 year of related claims processing, customer service, auditing, training, analysis, or operations experience.

Responsibilities

• Performs routine quality audits and monitoring across operations to ensure standards are met.
• Recognizes and documents potential fraud and abuse situations.
• Provides guidance to new hires after training completion.
• Compiles data and generates reports on quality performance.

Skills

Analytical skills

Customer service

Organizational skills

Basic math

Documentation

Communication

Education

High School Diploma or equivalent

Tools

Microsoft Office

Job description

BlueCross BlueShield of South Carolina is seeking an Analyst, Quality Assurance to join our on-site team in Columbia. Under supervision, you will perform quality audits, reviews, and monitoring across claims, membership, and customer service operations, identifying issues and recommending improvements.

Requires a High School Diploma or equivalent and at least 1 year of related claims processing, customer service, auditing, or analysis experience.