Quality Control Specialist

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.

• 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.

• 3-5 years of relevant experience preferred
• Experienced in claim rejections and insurance follow activities
• Demonstrated competency of the use of computer applications, billing information systems, and Microsoft Office applications
• Ability to communicate with patients, visitors and coworkers

High school diploma or equivalent required