Quality Assurance Spec
State of Georgia•Griffin, GA
48d
About The Position
Under general to limited supervision, the Quality Assurance Specialist will perform professional and administrative work coordinating and implementing a quality assurance program in a facility providing specialized or community-based services or assisting with the implementation of an intense quality assurance program of substantial scope and complexity for persons with mental illness and/or developmental disabilities.
Responsibilities
- Ensures accurate and timely processing of authorizations.
- Post incoming Carelon Files with Registrations, authorizations and discharges.
- Research and resolves rejections.
- Communicates correction instructions with staff, re-submits files when updated.
- Submits OTRs in GAMMIS and monitors for same day service needs.
- Checks portals for authorization updates.
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What This Job Offers
Job Type
Full-time
Industry
Executive, Legislative, and Other General Government Support
Education Level
No Education Listed
Number of Employees
1,001-5,000 employees
