Medicare Quality Auditor

A company is looking for a Quality Auditor.

Key Responsibilities

Audit outbound calls for compliance with CMS regulations, HIPAA, and internal quality standards

Evaluate agent performance and provide feedback to supervisors for performance improvement

Maintain documentation of audit findings and support organizational readiness for audits

Required Qualifications

3 - 5 years of experience in call center quality assurance, preferably in Medicare Advantage or healthcare

Associate or bachelor's degree in healthcare, business, or related field preferred

Strong knowledge of CMS guidelines and HIPAA regulations

Experience with call recording and QA platforms

Intermediate proficiency in Word and advanced proficiency in MS Excel