Quality Assurance & Audit Analyst

Alexandria, MN
Join our team!
Oct 16, 2020
Job Type
Full Time
This position is responsible for the analysis and review of claim system and related controls, including testing parameters and reviewing claims business processes for adherence to departmental policies and procedures. The Quality Assurance & Audit Analyst conducts such analyses using a wide variety of data, develops conclusions, and provides recommendations to management. The position applies analytical, conceptual, and logic skills to business concepts and develops them into operational methods. In addition, the Quality Assurance & Audit Analyst is responsible for coordinating the review of regulatory notifications from the Centers for Medicare & Medicaid Services (CMS) and the Minnesota Department of Human Services (DHS) pertaining to claims operations, as well as coordinating the review of encounter data processing exceptions.

At minimum, two years of post-high school education in business or a field of study related to health care and/or claims administration; may substitute experience in health care billing or claims payment administration on a year-for-year basis. Two or more years of health care claims or claims-related experience in a position with a health care claims payer organization or provider billing environment preferred.
Ability to efficiently navigate the Internet, as well as navigate PrimeWest Health claims and claims-related systems
Demonstrated knowledge of, and proficiency in, Word, Excel, and Outlook required. Use of other applications as needed.
Flexibility and ability to handle multiple tasks. Demonstrated organizational skills and attention to detail. Ability to work effectively with a variety of people both within and outside of the organization. Excellent verbal and written communication skills.
Ability to sit at a desk or computer station most of the time. Ability to occasionally lift and/or carry such articles as file folders and small boxes up to 25 pounds. Infrequent travel may be required.

PrimeWest Health will accept resumes until position is filled. No phone inquiries please. Employment to begin as soon as possible.

Qualified candidates should click "apply" to email their resume and cover letter Please include "Quality Assurance & Audit Analyst" in the subject line.
or mail to:
Attn: Stacey Guggisberg
Director of Provider Network Administration
PrimeWest Health
3905 Dakota St
Alexandria, MN 56308


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