Quality Assurance Specialist

Role Overview

• Serving as a skillful Disability Benefits Questionnaire (DBQ) Quality Check Expert finalizing all pertinent information completed on the DBQ, ensuring total completion and accuracy of document in relation to departmental goals.
• This includes reviewing and processing change requests determining which areas of the DBQ require updating, ensuring total completion and finalization of those requests, utilizing the Disability Rating Guide and ECFR ensuring updated DBQs meet quoted projections, and verifying disability rating requirements and criteria for aligned conditions.
• This also includes formalizing all files and sending approved DBQs to clients.
• This also includes ensuring all processes and procedures related to Compliance and the DBQ process are followed and safeguarding personally identifiable information / personal health information across the different communications both internally or externally.
• This also means you are working diligently to meet or exceed all department established expectations and goals, such as the team's productivity goals, quality goals, timeline goals, error rate goals, completeness of file goals, internal tagging timeline goals, etc. while maintaining a daily productivity log.
• Serving as a VA Rating Schedule expert, able to determine disability rating requirements and understanding which different criteria aligns best with the Client's conditions as you process change requests and update DBQs via provider or clinic feedback.
• Communicating with all internal or external stakeholders appropriately confirming any additional information or other document clarifications are adjusted on the DBQ with accuracy and efficiency ensuring a high quality questionnaire is processed to the next step of the product lifecycle.
• This can include external communications to providers, clinics, and clients addressing several areas within the DBQ process, such as provider updates, client questions, file content updates or statuses, concerns, and overall general DBQ support. Communications can vary, such as tagging, emailing, texting, and calling as needed.
• Serving as the final qualify check in the completeness and accuracy of the completed DBQ, confirming all vital information impacting the validity of the medical evidence.

Requirements

• 2+ years of experience in medical record administration, medical transcription, insurance claim processing, or other related field.
• Any experience in a highly regulated position where hundreds of documents crossed your desk daily, along with using tools such as Adobe to manipulate the different PDF form fields is a plus.
• Proficiency in Microsoft Office Suite and navigating multiple platforms including Salesforce, ZoHo, Slack, Teams, etc.
• Previous experience in the medical industry is a Plus!
• Previous experience operating in a data driven environment, reporting on daily activities is a Plus!
• Previous experience working with the Veteran community or within the VA regulations is a Plus!
• Comfortability being on the phone whether sitting or standing for extended periods of time.
• Highly organized, have multi-tasking skills, and efficient in ambiguous situations.
• Proactive thinking, consistently foreseeing and preparing for forthcoming challenges or opportunities.
• Excellent interpersonal and communication skills for facilitating effective collaboration across various departments and levels of the organization.
• Expert level attention to detail.
• Experience in start-up or early-stage environments with little or no defined infrastructure or processes.
• Track record of working in a fast-paced, fluid environment.
• Analytical and problem-solving orientation.
• High school diploma or equivalent required. A.S., B.A., B.S. degrees are a Plus!

Benefits

• Health, dental, and vision insurance with Company-sponsored Life Insurance
• Retirement savings plan with company match
• Vacation time off, sick time off, and holidays
• Ongoing training and development programs
• Opportunities for advancement within the company
• Flexible work schedules
• Remote first environment with companywide conferences annually
• Employee assistance program for personal and family well-being
• Employee discounts on products and services through Insperity
• Recognition programs for outstanding performance
• Company-sponsored social events and activities