Remote QA Analyst - Healthcare Claims & Data Audit

Remote Jobs; Phoenix (AZ); Remote; USD 70.000 - 90.000; Vollzeit

Zusammenfassung

tango is seeking a Quality Assurance Analyst to join our growing healthcare team in Phoenix. The role focuses on validating claims data, analyzing billing accuracy, and developing audit determinations with objective documentation.

You will escalate issues, support audits, and ensure compliance with rebuttal timelines while maintaining production quality metrics. Candidates should have deep knowledge of claims processing, enrollment, and regulatory requirements, with strong communication and

Qualifikationen

• 5–7 years of direct experience minimum.
• Advanced understanding of technical system operations.
• Knowledge of enrollment and eligibility and claims paying.
• Familiarity with audit and billing procedures and regulatory requirements.
• Ability to interpret plan benefit information and contractual obligations.

Aufgaben

• Oversees quality and findings in internal and external audits for all vendors and staff accuracy.
• Perform other duties within scope of responsibilities as assigned.
• Carry out essential functions with or without reasonable accommodation.

Kenntnisse

Analytical thinking

Communication skills

Team leadership

Problem-solving

Tools

Microsoft Excel

Microsoft PowerPoint

Office Suite

Jobbeschreibung

tango is seeking a Quality Assurance Analyst to join our growing healthcare team in Phoenix. The role focuses on validating claims data, analyzing billing accuracy, and developing audit determinations with objective documentation.

You will escalate issues, support audits, and ensure compliance with rebuttal timelines while maintaining production quality metrics. Candidates should have deep knowledge of claims processing, enrollment, and regulatory requirements, with strong communication and