Provider Enrollment Internal Quality Analyst

Provider Enrollment Internal Quality Analyst

The Provider Enrollment Internal Quality Analyst will export and import data for applicable quality auditing databases and conduct quality assurance audits as assigned within the specified due dates in order to improve daily processing of applications and/or file maintenance transactions.

Responsibilities include:

• Conduct targeted audit reviews as assigned within the specified due dates
• Conduct specialized audit reviews as assigned within the specified due dates
• Review and respond to quality audit disputes within the specified due dates and escalate to leadership as necessary
• Respond to escalation requests as assigned within the specified due dates
• Ensure data and information are sufficiently accurate and reliable
• Perform trending and root cause analysis on quality assurance data to identify training or enhancement needs
• Interact professionally with leadership and ancillary staff to provide appropriate and timely response to inquiries and concerns regarding provider enrollment and or file maintenance transactions for the client's Health Care programs
• Make recommendations to management to improve efficiency effectiveness of current manual processes through systemic modifications
• Maintain strict confidentiality of information and job files as dictated by current HIPAA requirements
• Perform other duties as assigned by leadership

Basic Qualifications

• A minimum of 6 months combined experience working in Provider Enrollment and Internal Quality Assurance

Preferred Qualifications

• Experience using Microsoft Office Suite in a professional setting
• Experience using healthcare terminology

Compensation at Accenture varies depending on a wide array of factors, which may include but are not limited to the specific office location, role, skill set, and level of experience. As required by local law, Accenture provides a reasonable range of compensation for roles that may be hired in California, Colorado, District of Columbia, Illinois, Maryland, Minnesota, New Jersey, New York or Washington as set forth below.

We accept applications on an on-going basis and there is no fixed deadline to apply.

Role Location Hourly Salary Range

California $19.71 to $38.51

Colorado $19.71 to $33.27

District of Columbia $21.01 to $35.43

Illinois $18.27 to $33.27

Minnesota $19.71 to $33.27

Maryland $19.71 to $33.27

New York/New Jersey $18.27 to $38.51

Washington $21.01 to $35.43