Provider Enrollment Internal Quality Analyst

Accenture • Austin, TX

101d • $21 - $49

About The Position

The Provider Enrollment Internal Quality Analyst will export and import data for applicable quality auditing databases and conduct quality assurance audits as assigned within the specified due dates in order to improve daily processing of applications and/or file maintenance transactions.

Requirements

• A minimum of 6 months combined experience working in Provider Enrollment and Internal Quality Assurance

Nice To Haves

• Experience using Microsoft Office Suite in a professional setting
• Experience using healthcare terminology

Responsibilities

• Conduct targeted audit reviews as assigned within the specified due dates
• Conduct specialized audit reviews as assigned within the specified due dates
• Review and respond to quality audit disputes within the specified due dates and escalate to leadership as necessary
• Respond to escalation requests as assigned within the specified due dates
• Ensure data and information are sufficiently accurate and reliable
• Perform trending and root cause analysis on quality assurance data to identify training or enhancement needs
• Interact professionally with leadership and ancillary staff to provide appropriate and timely response to inquiries and concerns regarding provider enrollment and or file maintenance transactions for the client's Health Care programs
• Make recommendations to management to improve efficiency effectiveness of current manual processes through systemic modifications
• Maintain strict confidentiality of information and job files as dictated by current HIPAA requirements
• Perform other duties as assigned by leadership

What This Job Offers

• Job Type: Full-time
• Industry: Professional, Scientific, and Technical Services