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Pro Fee Quality Reviewer Jobs

Agrisompo Quality Control Reviewer (R1074)
By AgriSompo At , Minneapolis, Mn From $55,000 a year
Proficient computer skills, including working knowledge of Microsoft Office Suite.
Tuition Reimbursement & Professional Qualification benefits.
Perform reviews pursuant to the requirements of the SRA including but not limited to Appendix IV
Pharmacy benefits with mail order options.
Dental benefits including orthodontia benefits for adults and children.
Company-paid Life & AD&D benefits, including the option to purchase Supplemental life coverage for employee, spouse & children.

Are you looking for an opportunity to use your expertise to review and assess the quality of products? We are looking for a Pro Fee Quality Reviewer to join our team and help us ensure that our products meet the highest standards of quality. As a Pro Fee Quality Reviewer, you will be responsible for evaluating the quality of products and providing feedback to ensure that they meet our standards. If you have a keen eye for detail and a passion for quality assurance, this could be the perfect job for you!

Overview:

A Pro Fee Quality Reviewer is responsible for ensuring that all professional fee claims are accurate and compliant with applicable regulations. They review claims for accuracy and completeness, and ensure that all documentation is in order. They also provide guidance to providers on how to properly submit claims and provide feedback on any errors or discrepancies.

Detailed Job Description:

The Pro Fee Quality Reviewer is responsible for reviewing professional fee claims for accuracy and completeness. They must ensure that all documentation is in order and that all claims are compliant with applicable regulations. They must also provide guidance to providers on how to properly submit claims and provide feedback on any errors or discrepancies. The Pro Fee Quality Reviewer must also be able to identify and resolve any issues that arise during the review process.

What is Pro Fee Quality Reviewer Job Skills Required?

• Knowledge of professional fee claims and regulations
• Excellent attention to detail
• Strong organizational and problem-solving skills
• Ability to work independently and as part of a team
• Excellent communication and interpersonal skills
• Ability to multitask and prioritize tasks

What is Pro Fee Quality Reviewer Job Qualifications?

• Bachelor’s degree in a related field
• At least two years of experience in a related field
• Knowledge of medical coding and billing
• Knowledge of medical terminology
• Knowledge of healthcare regulations

What is Pro Fee Quality Reviewer Job Knowledge?

• Knowledge of professional fee claims and regulations
• Knowledge of medical coding and billing
• Knowledge of medical terminology
• Knowledge of healthcare regulations

What is Pro Fee Quality Reviewer Job Experience?

• At least two years of experience in a related field
• Experience in reviewing professional fee claims
• Experience in providing guidance to providers on how to properly submit claims

What is Pro Fee Quality Reviewer Job Responsibilities?

• Review professional fee claims for accuracy and completeness
• Ensure that all documentation is in order and that all claims are compliant with applicable regulations
• Provide guidance to providers on how to properly submit claims
• Identify and resolve any issues that arise during the review process
• Provide feedback on any errors or discrepancies
• Maintain accurate records of all reviews and claims