Conduent Quality Assurance Associate in Helena, Montana

Quality Assurance Associate

Description

Quality Assurance Associate

AM Shift

Conduent Business Services - Helena MT

Conduent is the world's largest provider of diversified business process services with leading capabilities in transaction processing, automation, analytics and constituent experience. We work with both government and commercial customers in assisting them to deliver quality services to the people they serve.

We manage interactions with patients and the insured for a significant portion of the U.S. healthcare industry. We are the customer interface for large segments of the technology industry and the operational and processing partner of choice for public transportation systems around the world.

Whether it's digital payments, claims processing, benefit administration, automated tolling, customer care or distributed learning - Conduent manages and modernizes these interactions to create value for both our clients and their constituents. Learn more at www.conduent.com .

Looking for a detail-oriented individual to join our Quality Assurance Team that performs quality audits on work that is performed by internal departments such as Provider Relations, Call Center, Claims and Program Support in order to meet the contractual obligations to the State client.

Competencies

  • Detail-Oriented

  • Professionalism

  • Team and Goal Oriented

  • Proficient Communication

  • Customer/Client Focus

  • Organizational Skills

  • Problem Solving/Analysis

Duties and Responsibilities include:

  • Listening to recorded calls and evaluating for accuracy based on set expectations.

  • Ensure claims information is entered accurately into MMIS system.

  • Reviewing all Enrollment Broker, Provider Relations entries for accuracy.

  • Ensures productivity meets or exceeds services and quality standards

  • Verify File Update Requests (Furs) are entered into the system correctly and responded to within contract requirements.

  • Verify the timeliness of processing claims through document control.

  • Covering for front desk admin as needed.

  • Other duties as assigned.

Qualifications

  • Quality Assurance experience preferred

  • Medicaid or Health Insurance experience preferred

  • Ability to work well with people under occasional stressful and demanding conditions; develop and maintain effective working relationships with a variety of individuals; identify when to ask for help and be willing to ask for help when appropriate.

  • Must be a self-starter that is unselfishly motivated and able to demonstrate the initiative to meet business/department needs.

  • Must be able to show commitment to consistently doing high quality work and occasionally going above and beyond.

  • Able to embrace coaching and feedback from peers and management.

  • Must have the ability to operate general office equipment, Microsoft Office products as well as specialized software.

  • Follow procedures expected of all staff and act in a professional manner.

Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by clicking on the following link, completing the accommodation request form, and submitting the request by using the "Submit" button at the bottom of the form. For those using Google Chrome or Mozilla Firefox please download the form first: click here to access or download the form at https://downloads.conduent.com/content/usa/en/file/conduent-applicant-adaaa-referral-form.pdf .

Job Customer Care

Primary Location United States-Montana-Helena

Organization Government

Unposting Date Ongoing

Req ID: 18030409