Quality Assurance Specialist - Remote Claims & Compliance

GEHA

Remote job

GEHA is offering a remote opportunity for a Quality Assurance Specialist with a focus on audits, reports, and provider data management. The role requires strong communication and MS Office proficiency, with a path to impact quality across departments. The position is based in the Kansas City area with hybrid/work-from-home options and salary information outlined by the company. Applicants should be able to meet home-office internet requirements. #J-18808-Ljbffr GEHA

Apply

Vacancy posted 1 day ago

Similar jobs that could be interesting for youBased on the Quality Assurance Specialist - Remote Claims & Compliance in Lees Summit, MO vacancy

Quality Assurance Specialist
...Ensure accuracy, efficiency, and compliance of revenue cycle processes. Conduct audits... .... Key Responsibilities: Perform quality reviews and audit claims and workflows. Develop and maintain... ..., and customer-focused. Remote work with required internet speed; reimbursement...
Remote work
Claims
Privia Health
New York, NY
3 days ago
Quality Assurance Specialist
...is a global provider of claims management and outsourcing... ...focuses on delivering high-quality services through... ...Description The Quality Assurance Specialist is a full-time remote role responsible for ensuring... ...detect issues, and verify compliance with standards. Experience...
Remote work
Claims
Full time
Crawford & Company
United States
4 days ago
Quality Assurance Specialist III
...integrity of internal controls, the full-time remote Quality Assurance Specialist III will conduct in-depth audits of claims processes, identify transaction errors, and... ...Perform regular audits of claims for accuracy, compliance, and contract interpretation, documenting...
Remote work
Claims
Full time
Contract work
Work at office
Virtual Vocations Inc
United States
1 day ago
Quality Assurance Specialist
...Quality Assurance SpecialistLos Angeles, California, United StatesAbout... ...seeking a Quality Assurance Specialist to ensure our products and... ...Korea HQ, overseeing product compliance, import documentation,... ...product quality-related customer claims (VOC), and regulatory...
Claims
Local area
DHD Consulting
Los Angeles, CA
3 days ago
Quality Assurance Specialist
...U.S. Assurance Specialist | Commercial P&C A growing commercial Property & Casualty insurance... ...Specialist to work across underwriting, compliance, regulatory and financial activities.... ...forms, compliance, program governance, claims or policy administration could...
Claims
The Neeljym Search Group
Independence, KS
4 days ago
Quality Assurance (QA) Specialist
$20 - $24 per hour
...HGB Program Quality Assurance Specialist The HGB Program Quality Assurance Specialist plays a critical... ...accurately and completely prior to claim submission. This position serves as the... ...medical documentation, validating compliance with Medicare guidelines, and ensuring...
Claims
Hourly pay
Part time
Work at office
HealthGrades Analytics
Houston, TX
21 hours ago
Litigation and Compliance Attorney - Remote
$180k - $220k
...at mediation, coordinating directly with claims handlers and corporate clients - Mentor... ...and maintain accurate billing and docket compliance Qualifications: - 5+ years handling... ...site:** Melville, NY (Long Island) - **Hybrid:** 1-2 remote days per week after onboarding
Remote work
Claims
2 days per week
1 day per week
CyberCoders
Melville, NY
21 hours ago
Quality Assurance Specialist
...steadfast commitment to quality care and unparalleled... ...for our Referrals Specialist position. This pivotal... ...Summary: The Quality Assurance Specialist I (QAS) assists... ...(C4K) in maintaining compliance with agency, Los Angeles... ...resolving outstanding claim issues, by problem...
Claims
Full time
Contract work
Work experience placement
Local area
Counseling4Kids
Glendale, CA
2 days ago
Quality Assurance Specialist
$83.94k - $109.12k
...by the agency policy. Remote job No Relocation... ...series ~ 1910 Quality Assurance Supervisory status... ...Ensures contractor compliance with all requirements... ...a Quality Assurance Specialist, your resume and supporting... ...your educational claims. Or, if you are using...
Remote work
Claims
Permanent employment
Full time
Contract work
Part time
For contractors
Relocation
Trial period
Flexible hours
Defense Logistics Agency
Tucson, AZ
1 day ago
Quality Assurance Specialist I
...QA Specialist IThe QA Specialist I provides quality oversight and compliance support for operations including equipment and material preparation, aseptic compounding,... ...attendance – this position cannot be performed on a remote or telecommute basis on a temporary, short- or...
Remote work
Temporary work
Weekend work
Kindeva Drug Delivery
Maryland Heights, MO
4 days ago
Quality Assurance Specialist
$50k - $60k
...feel right at home here. TITLE: Quality Assurance Specialist REPORTS TO: Project Director LOCATION: Remote – West Coast EMPLOYMENT TYPE:... ...payment requests for program compliance, accuracy, and completeness... ...; (f) workers' compensation claims management; (g) employee job...
Remote work
Claims
Full time
For contractors
Second job
Work at office
Local area
Flexible hours
Career-Team-36cf2150
New York, NY
1 day ago
Claims Supervisor
...Overseeing the day-to-day functions of the claims department, the full-time Claims Supervisor will provide... ...support to staff, develop policies to ensure compliance, and drive process improvements while working remotely. Key responsibilities Manage claims inventory to...
Remote work
Claims
Full time
Work at office
Virtual Vocations Inc
United States
3 days ago
RCM Specialist
...the revenue cycle for behavioral health and outpatient practices, the fully remote RCM Specialist will manage full-cycle medical billing, ensure timely claims submission, and maintain compliance using platforms such as Simple Practice and Tebra. Key responsibilities...
Remote work
Claims
Virtual Vocations Inc
United States
2 days ago
Quality Assurance Specialist
...Quality Assurance SpecialistThe Quality Assurance Specialist performs visual and electronic, electrical and mechanical inspection... ...specifications. Ensures compliance with ISO and assigned governmental... ...not eligible to work hybrid or remote. This position works a 1st...
Remote work
Permanent employment
Temporary work
Work at office
Day shift
AAR
Jacksonville, FL
3 days ago
Quality Assurance Specialist
$55k - $75k
...assigned to legal/MVA operational quality function, validating lead and... .... Performs detailed quality-assurance and data-audit work across... ..., routing accuracy, and compliance with campaign parameters.Review... ...LocationRemote - United States. Full-time remote role with scheduled overlap...
Remote work
Full time
Wisepath Financial Group
Tampa, FL
4 days ago
Nuclear Safety and Quality Assurance Integration Specialist
...Nuclear Safety and Quality Assurance Integration SpecialistProSidian seeks... ...Assurance Integration Specialist for program support on a contract... ...contractor support, compliance oversight, and mission assurance... ...to change or working remotely): 2440 Stevens Center Place...
Remote work
Full time
Contract work
For contractors
For subcontractor
Work at office
ProSidian Consulting
Richland, WA
3 days ago
QUALITY ASSURANCE SPECIALIST
...Summary You will serve as a QUALITY ASSURANCE SPECIALIST in the COMMANDING OFFICER, COMPLIANCE AND QUALITY DEPARTMENT of FLEET READINESS CENTER SOUTHWEST. Learn... ...duty station to CONUS and OCONUS and may include remote or isolated sites. You must be able to travel on...
Remote work
Full time
Part time
Interim role
Work at office
Local area
Immediate start
Relocation
Prescient Edge
San Diego, CA
2 hours ago
PAX Quality Assurance Specialist
$63.65k - $92.57k
...Responsible for ensuring the quality and accuracy of Patient... ...(PAS) billing and claims processes. Performs quality assurance reviews, analyzes workflows... ...with staff to ensure compliance with billing policies and... ...Hearing Constantly (67-100%) Remote Type Hybrid Work...
Remote work
Claims
Shift work
Salem Hospital
Salem, MA
4 days ago
Fraud Investigator
...full-time SIU Investigator will analyze claims data, medical records, and provider information... ...to support case resolution in a remote setting. Key responsibilities Conducts... ...external stakeholders Collaborates with compliance, legal, and provider teams to coordinate...
Remote work
Claims
Full time
Virtual Vocations Inc
United States
4 days ago
Fraud Investigation Specialist
...-time Special Investigation Unit Investigator will review claims data, medical records, and provider information while collaborating with stakeholders to ensure compliance and support case resolution in a remote setting. Key responsibilities Conducts FWA investigations...
Remote work
Claims
Full time
Virtual Vocations Inc
United States
2 days ago
Remote Audio Quality Assurance Specialist
tsmg is seeking a remote QC specialist to review recorded audio for technical quality and compliance with project specifications. You will use Adobe Audition to analyse recordings, flag non-compliant material and approve hours that meet the required standards. The role...
Remote job
Work from home
Hidden Jobs
New York, NY
1 day ago
Insurance Claims Specialist
...patient account balances, the full-time Insurance Claims Specialist will ensure accurate claim submission, compliance with billing regulations, and timely follow-up while providing excellent customer service in a remote setting. Key responsibilities: Submits accurate and...
Remote work
Claims
Full time
Work at office
Virtual Vocations Inc
United States
21 hours ago
Revenue Cycle Quality Assurance Specialist
...experienced Revenue Cycle Quality Assurance Specialist to join our complianceteam.... ...accuracy, completeness, and compliance, then tracking correctiveaction... ...Terrell, TX office, with remote work available in... ...requirements Auditacross the full claim lifecycle, including patient...
Remote work
Claims
Temporary work
Work at office
Emergicon,-LLC-1
Terrell, TX
11 hours ago
Director of Risk Management
$200k - $250k
...Management. This newly created position can be hybrid or primarily remote, with a preference for candidates located in Greater Boston,... ...activities, including insurance renewals, coverage analysis, claims administration, broker and carrier relationships, operational risk...
Remote work
Claims
Permanent employment
KBW Financial Staffing & Recruiting
Newington, Strafford County, NH
4 days ago
Audit Specialist
...Conducting audits of billing, documentation, insurance claims, and regulatory compliance activities, the full-time Audit Specialist will ensure adherence to Medicare, Medicaid, and commercial insurance requirements while identifying opportunities for improving reimbursement...
Remote work
Claims
Full time
Virtual Vocations Inc
United States
1 day ago
Remote Reimbursement Specialist - Home Infusion Billing
$20 - $25 per hour
...Coordinator to handle billing procedures, resolve complex claims, and ensure compliance with regulations. The ideal candidate will have at least 2... ...billing experience and strong problem-solving abilities. This remote full-time position offers a competitive pay range of $20-$...
Remote work
Claims
Full time
Tucker Parker Smith Group
United States
4 days ago
IT Quality Assurance - Senior/Specialist
$92.76k - $124.75k
...Job Type: Full Time - Permanent Remote Employment: Flexible/Hybrid Job... ...family and community." Job Title: IT Quality Assurance- Senior/Specialist Location : Olympia, WA, Thurston... ...minimum qualifications and wish to claim Veteran's Preference MUST attach a...
Remote work
Claims
Permanent employment
Full time
Part time
Work at office
Flexible hours
Shift work
State of Washington
United States
1 day ago
Actuary - Insurance - REMOTE
$75 - $125 per hour
...to apply for the Actuary - Insurance – REMOTE role at WAHVE LLC This range is provided... ...the frequency and severity of insurance claims. Analyze rating variables and... ...information as one of our Qualification Specialists will connect with you promptly. #J-188...
Remote work
Claims
Full time
Part time
Work experience placement
Work at office
Work from home
WAHVE LLC
United States
1 day ago
Risk Management Coordinator
$70k - $75k
...the RMC include managing a high volume of claims, assisting with litigation matters,... ...risk transfer opportunities, and ensuring compliance with Company insurance requirements. This... ...of the week in the office, the balance remote optional), very competitive pay commensurate...
Remote work
Claims
Contract work
Work at office
3 days per week
1 day per week
Brixmor Property Group
New York, NY
1 day ago
Remote Senior Medical Coding Auditor - Outpatient
...activities, validate coding accuracy, and ensure compliance with outpatient coding and reimbursement... ...Integrity.The role involves researching claims anomalies, applying CPT/HCPCS guidelines... ...teams to improve audit strategies. Remote work with occasional travel is possible....
Remote work
Claims
Humana
New York, NY
3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Quality Assurance Specialist - Remote Claims & Compliance. Be the first to apply!