Quality Control Coordinator

Quality Control Coordinator

Full-Time | Hybrid or Remote
Pay Range: $25.88–$27.83/hour (commensurate based on experience)

The Quality Control Coordinator (QCC) performs quality review audits for offshore vendors as well as applicable onshore staff. The QCC will ensure all staff are meeting expectations and following all QA guidelines as outlined in the service level agreements, contract and PPT quality standards.

What You’ll Do
• Complete quality audits for Eligibility and Benefits, Authorization Management, Patient Accounts, and Correspondence RCO functions.
• Coordinates and conducts RCO staff and vendor training; ensures training documentation is current, complete, and accurate.
• Ability to perform payer overlaps for the RCO and ensure _BO work queue is maintained.
• Lead ATA/RCA meetings with vendor in response to audits.
• Behaves in a manner consistent with Professional’s mission and values.
• Maintains a working knowledge of HIPAA, OSHA, Risk Management and compliance regulations.
• Attends Company meetings as required.
• Attends training classes as directed and completes assigned training courses.
• Practices confidentiality in accordance with Company policies and all laws and regulations.
• Other duties as assigned by the Vice President, Revenue Cycle Operations.

• Stays abreast of laws and regulations affecting reimbursement.

What We’re Looking For

• Bachelor’s degree preferred

• At least 1 year of Revenue Cycle experience required

• Proven ability to meet or exceed productivity goals consistently

• Strong knowledge of revenue cycle operations, including the ability to identify trends and resolve issues

• Proficiency in Raintree and Microsoft Office applications

• Excellent analytical and problem-solving skills

• Strong organizational and time management skills with the ability to manage multiple priorities

• Excellent written and verbal communication skills

• Ability to work independently, follow through on tasks, and handle multiple projects simultaneously

• Demonstrates professionalism, teamwork, and a commitment to a respectful and inclusive work environment

Work Environment & Conditions
• Position can be hybrid or remote
• Prolonged periods of sitting
• Occasional walking, including stairs
• May require evening or weekend work based on business needs

Benefits

• Rest, Reset & Recharge: Sick time in accordance with state and local requirements, plus 6 major holidays to unplug and focus on what matters most.
• Plan Ahead: Company-matched 401(k) to help you build what’s next, available once eligibility requirements are met (500+ hours in two consecutive years).
• Care for Your Crew: MetLife Pet Insurance with flexible plans, up to 90% reimbursement on eligible expenses, and 24/7 telehealth support via the PetMobile app.
• Play More, Pay Less: Exclusive savings through PlumBenefits and LifeMart on travel, hotels, theme parks, sporting events, shows, electronics, food delivery, and more.

Equal Opportunity Employer, including Disabled/Veterans.