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Quality Review and Audit Senior Representative

  • Location

    Houston, United States

  • Sector:

    Other Area(s)

  • Job type:

    Contract

  • Contact:

    Leric Arcigal

  • Job ref:

    20151

  • Published:

    over 1 year ago

  • Expiry date:

    2020-06-18

Candidate will receive the following Cigna Items that will need to be returned at EOA:Badge, computer, parking pass

Duties: Delivers specific delegated Quality Assurance/Audit tasks assigned by a supervisor. Completes day-to-day Quality Review and Audit tasks without immediate supervision, but has ready access to advice from more experienced team members. Tasks involve a degree of forward planning and anticipation of needs/issues. Resolves non-routine issues escalated from more junior team members. Will perform the following functions on a daily basis:

Call provider offices to validate online provider directory information Review numerous records for accuracy

Validate information in the online directory, claims payment system, SharePoint and internal market drives. Participate in team meetings and provide feedback Identify root cause for failed records Communicate records status with different levels in the organization