You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.
Job Summary
The Quality Assurance Specialist is responsible for monitoring, evaluating, and improving the quality of customer service interactions within a healthcare setting. This role ensures compliance with organizational policies, healthcare regulations, and service excellence standards. The QA Specialist will conduct audits, identify trends, and provide actionable feedback to support training, coaching, and continuous improvement initiatives.
Responsibilities / Job Duties
- Audit inbound and outbound calls and other customer interactions to assess competency and identify service gaps.
- Work with Physicians on staff to help identify scheduling gaps.
- Identify patterns, process gaps, and training needs through root cause analysis of customer service issues.
- Provide clear, constructive feedback and collaborate with leadership, training, and operations teams to improve service quality.
- Generate detailed reports on audit findings, trends, and performance metrics for management review.
- Partner with compliance and regulatory teams to ensure adherence to healthcare requirements and privacy standards.
- Support ongoing process improvements to enhance patient and member experience.
- Stay current on healthcare regulations, payer guidelines, and industry best practices in customer experience and quality assurance.
Minimum Education and Experience Qualification Requirements
Qualifications
- Associate’s or Bachelor’s degree preferred, or equivalent work experience.
- 2+ years of quality assurance, auditing, or customer service experience in healthcare or health insurance.
- Strong understanding of HIPAA regulations and healthcare customer service practices.
- Excellent analytical, organizational, and communication skills.
- Proficiency in QA software, Microsoft Office Suite, and CRM/Call Center systems.
- Ability to provide objective feedback and influence improvement in a professional manner.
Benefits
- Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
- Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
- 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
- Short Term Disability Insurance.
- Term Life Insurance Plan.
*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
Medix Overview:
With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.
*As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
