Quality Assurance Coordinator jobs in United States
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Delta Dental of Washington · 3 days ago

Quality Assurance Coordinator

Delta Dental of Washington is committed to ensuring excellent customer experiences and health outcomes. The Quality Assurance Coordinator will develop and maintain systems to ensure that all communications and tasks meet established standards and quality levels, collaborating closely with Operations Managers and the Training team.

Health Care

Responsibilities

Evaluate claim quality for Operations. Maintain audit performance statistics and error trends
Review our Service Specialists and Support Team inbound calls to offer feedback based on ability to provide exceptional customer service focused on the customer experience, employee experience, ability to display empathy and build a connection with our customer and provide valuable information while strengthening our brand
Review and evaluate online communication via text, chat and/or email to ensure that exceptional written communication is provided to our customers
Review and evaluate daily Group Administration transactions for retro adjustments, new groups, data entry transactions, and specific document processes
Review and evaluate PSR updates including, address changes, TIN changes, and EFT adjustments associated with TIN adjustments, network adds, credentialing and recredentialing
Partner and collaborate monthly with Operations Training Dept. to review performance and potential areas for associate development
Maintain current knowledge base of these consistently changing entities: Dental on Demand system enhancements and modifications, procedural documentation, contract terms, federal and state regulations, Delta Dental Plans Association policies and procedures and any other information pertaining to accuracy
Maintain open communication between Quality Management and Operations Leadership and staff, building open lines of communication to strengthen the team’s relationship with all groups

Qualification

Claims processingCall center experienceProvider ServicesExcelAccessImpartialityDesire to learnEffective communicationTeam collaborationProblem solvingConfidentiality

Required

One year call center, claims processing, Provider Services and/or Group Administration experience required
Effective communication skills (both written and oral)
Proven skills in working independently and as part of a team, while using discretion in decision making and good judgment in problem solving
Proficient PC skills, experience with Excel and Access
A high degree of impartiality and confidentiality when reviewing work to insure objective reporting
A strong desire to perform well and continue to learn
High School diploma or equivalent required

Benefits

Highly competitive medical, dental and vision plans
Generous 401k match
Vacation and sick time from their very first day
Tuition reimbursement plan
Professional development plans
Employee-led communities

Company

Delta Dental of Washington

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Delta Dental of Washington is Washington's leading dental benefits company.

Funding

Current Stage
Growth Stage
Total Funding
unknown
Key Investors
SMILE Health
2023-08-08Non Equity Assistance

Leadership Team

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Laura Smith
President and CEO
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Ryan Bartlett
VP of Finance & Chief Financial Officer
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