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Quality Control And Compliance Associate
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- Reporting to the Medical Services QC Supervisor in our West Trenton, New Jersey corporate office, the QC & Compliance Associate is responsible and accountable for conducting complete and thorough reviews of medical bills and participating in targeted compliance and process audits to support the department.
- This role also supports the MSA QC Supervisor in completing compliance checklist reviews for both PIP and Workers' Compensation Claims.
- Assist the MSA QC Supervisor in completing PIP and WC compliance checklist reviews
- Gather exhibits required, identify items needing sign off from other departments outside of MSA, and assist with compiling regulations for sign off
- Establish audit parameters/thresholds, gather and compile data for closed claim and process audits for all identified MSA business units as specified by Department Supervisor
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