Remote Claims Quality Analyst

Remote Claims Quality Analyst, responsible for ensuring the accuracy and compliance of claims processing in a full-time remote role, focusing on auditing and analyzing claims and provider disputes. Key ResponsibilitiesPerform detailed audits of claims to assess accuracy and compliance with contracts and regulations Analyze provider disputes for patterns and implement corrective actions for process improvements Support training initiatives and ensure alignment with regulatory requirements through auditsRequired QualificationsHigh school diploma or equivalent At least 3-5 years of experience as a Quality Analyst in healthcare or claims processing environments Hands-on experience with EZCap (strongly preferred) Familiarity with Medi-Cal and Commercial insurance claims Experience with other claim adjudication platforms and provider systems