QUALITY CONTROL SPECIALIST

About us

Cooper University Health Care is an integrated healthcare delivery system serving residents and visitors throughout Cape May County. The system includes Cooper University Hospital Cape Regional; three urgent care facilities; nearly 30 primary care and specialty care offices in multiple locations throughout Cape May County; The Cancer Center at Cooper University Hospital Cape Regional; the Claire C. Brodesser Surgery Center; AMI at Cooper, Miracles Fitness and numerous freestanding outpatient facilities providing wound care, lab, and physical therapy services. We have a commitment to our employees by providing competitive rates and compensation programs. Cooper offers full and part time employees a comprehensive employee benefits program, including health, dental, vision, life, disability, retirement, on-site Early Education Center (employee discount), attractive working conditions, and the chance to build and explore a career opportunity by offering professional development.

Cooper University Hospital Cape Regional is accredited by and received the Gold Seal of approval from The Joint Commission.

Short Description

• Investigate claim denial patterns and collaborate with supervisor / management on proposed resolutions.
• Identify patterns of 277 rejections and registration errors for resolution and education opportunities
• Analyze follow up time log scoring opportunities for increased productivity.
• Assist with resolving work queue denials and rejections.
• Processes special projects as assigned by supervision / management
• Handles problem accounts or relevant issues and collaborates with supervisor / management on resolution.
• Participate as requested in cross training efforts to ensure maximal use of staff skills and maintain full coverage for all billing functions.
• Performs all other duties as assigned by supervisor and / or management.

Experience Required

Education Requirements

High school diploma or equivalent required