Job Description
Quality Control Representative
Under general supervision, this position is responsible for reviewing demographic, employer, and correcting billing information and ensuring that accounts are verified and authorized prior to bill print. If the account lacks verification and/or authorization the Quality Control Representative is responsible for obtaining the missing information. Audits ER, Main Admitting, Ancillary and Breast Center registration to ensure accuracy. Must be familiar with all demographics and able to identify the guarantor, guarantor address, insured and next of kin information. Able to identify all insurance cards, HMO's, PPO's, HMO/Medicare and Medi-Cal. Must be accurate when updating all registrations. Able to recognize potential problems and recommend corrective action or additional training when necessary. Multi-task oriented with emphasis on detail is essential. Must be able to prioritize time and customize the essential job function.
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