A Quality Assurance Billing Dispute Specialist in the Quality Assurance Department is responsible to facilitate the process of client estimate disputes to ensure all concerns are addressed on submitted job files for timely payment. You will Facilitate the process of client estimate disputes on submitted job files. Logging, tracking, and ensuring completion of all disputes to ensure responses are timely and in compliance with all applicable contracted timeframes, standard of drying requirements, and company policy is enforced. Review an estimate based on carrier guidelines Manage efficient cycle times and quality of estimate reviews timely and in a fair manner. Examine documents for completeness, accuracy, and conformance to carrier guidelines Ability to understand and have a solid technical background that includes an exceptional understanding (and possible hands-on experience) in loss estimating, homeowner residential, commercial. mitigation and construction. Comfortable working in a metrics driven claims environment. Strong analytical and mathematical ability. Exercise objective judgment and critical decision making to resolve issues Note and follow up on discrepancies in files Effectively communicate with franchises and clients via phone, email, and internal/external systems to accurately bring both parties to agreement on an invoice amount to be paid and the billing dispute closed in a timely manner. Escalating disputes to the appropriate professional for review to obtain completion and receive Franchise payment. Conduct thorough investigations of all information provided, by analyzing all the issues involved and obtaining responses and information from internal and external entities Work as an effective interface/liaison between internal and external customers Monitor daily and weekly pending reports and personal worklists, ensuring internal & contractual timeframes are met. Identify areas of potential improvement and provide feedback and recommendations to management on issue resolution, quality improvement, policies and procedures, cost saving opportunities, best practices, and performance issues. Back up audit team as needed Back up customer complaints as needed Perform other duties as assigned or required. Regular attendance is an essential function of the job.
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Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED