You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.
Job Summary
Our client is seeking a dedicated Quality Assurance Coordinator to ensure patient files are complete, accurate, compliant, and audit-ready by reviewing documentation, therapy changes, authorizations, operational workflows, and supporting clinical notes. This role acts as the final line of defense in preventing denials and ensuring operational accuracy.
The QA Coordinator ensures patient files are complete, accurate, compliant, and audit-ready by reviewing documentation, therapy changes, authorizations, operational workflows, and supporting clinical notes. This role acts as the final line of defense in preventing denials and ensuring operational accuracy.
This is an excellent opportunity for someone with experience in specialty pharmacy, infusion operations, benefits verification, authorizations, or medical insurance workflows who enjoys detail-oriented work and critical thinking.
Details:
- Shift: Mon-Fri (8:30am-5pm), Onsite
- Location: Plano, TX
- Pay: $24.00 - $27.00
Key Responsibilities
- Review completed patient work orders for accuracy and completeness
- Audit documentation to ensure files are compliant and audit-ready
- Verify authorizations, approvals, therapy changes, and operational documentation align correctly
- Review provider and pharmacist progress notes to ensure therapy interventions are properly supported
- Investigate discrepancies across multiple systems and portals
- Validate approved services and assist with accurate patient co-pay quoting
- Identify missing documentation, inconsistencies, or operational gaps that could lead to denials
- Collaborate cross-functionally with operational, insurance, pharmacy, and QC teams
- Maintain strong attention to detail while managing high-volume documentation review workflows
Qualifications
- Experience in specialty pharmacy, infusion pharmacy, healthcare operations, or medical insurance workflows preferred
- Knowledge of prior authorizations, benefits verification, medical benefits, or reimbursement processes strongly preferred
- Strong critical thinking and problem-solving skills
- Ability to work independently in a fast-paced, detail-oriented environment
- Comfortable reviewing large amounts of documentation across multiple systems
- Strong organizational and communication skills
- High attention to detail and auditing mindset
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.
Required Employment / Compliance Language
Note: All benefits are in compliance with U.S. state laws and regulations.
*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.
Any required state or Joint Commission training is compensated at the state or local minimum wage rate.
*As a job position within our Life Sciences 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: high-risk work environments (warehouse or industrial areas), high-risk/ high-error job duties that could result in life-threatening injury or death, operation of heavy-duty machinery, working with hazardous chemicals, exposure to other dangerous materials, such as drugs and sharp instruments. 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.
