Quality Assurance Representative

## Quality Assurance RepresentativeApplylocations: US - TX, Lewisville: US - Remote (Any location)time type: Full timeposted on: Posted Todayjob requisition id: 41250**Job Family:**Patient Account Representative**Travel Required:**None**Clearance Required:**None**What You Will Do:**The **Quality Analyst** role is responsible for reviewing account activity, documentation, billing actions, denials, adjustments, and follow-up processes to ensure accuracy, compliance, and consistency with client and departmental expectations. This role supports quality improvement by identifying trends, documenting findings, and communicating issues that may impact account resolution or workflow performance.* Review account documentation to ensure notes are complete, accurate, and entered in the appropriate client system.* Audit billing, rebilling, denial follow-up, appeal activity, adjustments, and account resolution actions for accuracy and compliance.* Monitor denials, correspondence, and account trends to identify recurring issues or process gaps.* Validate that demographic, insurance, address, and plan updates are completed correctly and support account integrity.* Ensure work aligns with applicable client requirements, standard operating procedures, HIPAA guidelines, and state or federal regulations.* Document QA findings clearly and communicate trends, errors, or concerns to leadership for review and follow-up.* Support special projects, training opportunities, and process improvement efforts related to quality, accuracy, and workflow performance.**What You Will Need:*** High School Diploma / GED or 3 years of Relevant Equivalent Experience in Lieu of Diploma / GED.* 0-2+ year's experience in office, business, operations, customer service or healthcare field.**What Would Be Nice To Have:*** Previous experience working in insurance portals* PC skills in a Windows environment.* Knowledge and utilization of desktop applications to include Word and Excel.* Ability to initiate and follow through on projects and work independently with minimal supervision#IndeedSponsored#LI-DNIThe annual salary range for this position is $34,000.00-$56,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.**What We Offer:**Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.Benefits include:* Medical, Rx, Dental & Vision Insurance* Personal and Family Sick Time & Company Paid Holidays* Position may be eligible for a discretionary variable incentive bonus* Parental Leave* 401(k) Retirement Plan* Basic Life & Supplemental Life* Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts* Short-Term & Long-Term Disability* Tuition Reimbursement, Personal Development & Learning Opportunities* Skills Development & Certifications* Employee Referral Program* Corporate Sponsored Events & Community Outreach* Emergency Back-Up Childcare Program**About Guidehouse**Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at View phone number on click.appcast.io or via email at View email address on click.appcast.io. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or View email address on click.appcast.io. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact View email address on click.appcast.io. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.*Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.* #J-18808-Ljbffr