CTG Verifications Specialist in Santa Fe, New Mexico
Jun 01, 2022Post Date
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CTG is assisting a client in staffing a remote Verifications Specialist for a temp to perm role.
Job Title: Verifications Specialist
Location: Remote-East Coast Hours
Job Type: Temp to perm
Hours: 8 am to 4:30 pm, M-F
We are seeking a talented individual for a Verifications Specialist who is responsible for performing as subject matter expert for department including but not limited to Client Specifications, Client Profiles, Carrier Verifications Methods, Quality Control, and Inventory Control. Support specialized functions of the Verifications department such as Training, Quality Assurance or Special Projects.
Perform as subject matter expert in all aspects of verifications process.
Understand verification platform.
Grasp software and carrier access methods.
Complete coaching and counseling form weekly for each team member.
Train, coach and develop all new Verification Representatives.
Answer questions from team and help with issues while avoiding disruption in workflow.
Monitor Verification Representatives phone calls and provide feedback.
Identify areas needing training and report to Supervisor.
Assess each new hires area for improvement then encourage the individual’s growth, development and improvement.
Review feedback from Quality Assurance team and counsel team members.
Master day-to-day knowledge of the Verification’s department and follow best practices.
Mentor new hires by providing feedback and counseling about job related errors, ensuring methods of best practices and corrective actions are implemented.
Report carrier issues using the proper forms and communication channels.
Monitor new hires quality and production metrics to ensure mastery of the position’s required knowledge base.
Verify insurance policies (as requested) and maintain quality score of 95% accuracy or better.
Assist the corporate Quality Assurance department with Quality Assurance work as directed.
Investigate and resolve data inconsistencies.
Suggest areas for process and procedural improvement and report to Supervisor.
Perform internal department production audits.
Audit Verification Representatives work for accuracy.
Audit verified insurance policies for accuracy.
Apply judgment in sampling versus full-populations quality assurance methods.
Approve batch or send back for re-work.
Provide back up support for all functions of team.
- Work on special projects with accuracy and meet deadlines as assigned.
Knowledge, Skills and Abilities:
Ability to organize well.
Ability to prioritize.
Ability to provide and represent professionalism in job.
Ability to practice flexibility and adaptability in the work place.
Ability to work proficiently with Microsoft Outlook, Word and Excel and navigate internet skillfully.
Ability to analyze information and use logic and process to address work-related issues and problems.
Ability to operate with strong interpersonal skills.
Ability to be careful and thorough about detail.
Ability to perform data entry accurately.
Average manual dexterity in use of a PC, phone, 10 key, sorting, filing and other office machines.
Ability to handle conflict appropriately and constructively.
Ability to apply problem solving skills.
Ability and desire to train others.
Working knowledge of HIPAA privacy and Security rules.
Ability to perform well in team environment.
Ability to work independently to meet objectives.
Ability to meet deadlines.
Ability to handle pressure and deadline oriented project demands as well as manage multiple initiatives.
Work Conditions and Physical Demands:
Primarily sedentary work in a general office environment
Ability to communicate and exchange information
Ability to comprehend and interpret documents and data
Requires occasional standing, walking, lifting, and moving objects (up to 10 lbs.)
Requires manual dexterity to use computer, telephone and peripherals
May be required to work extended hours for special business needs
High School Diploma or GED required, Associates degree preferred
Minimum Related Work Experience:
6 months of work experience verifying/QA insurance eligibility within the department
Expert eCare/Tracer verification platform knowledge required
Demonstrated leadership skills
Power Point and Access are preferred
No third party resumes will be accepted
Drug testing and/or other employment-related inquiries may be conducted
All interested individuals MUST be able to work on a W2 Tax basis (no C2C or third party vendors!
CTG is an Equal Employment Opportunity employer
CTG is an E-Verify Company
CTG is a leading provider of digital transformation solutions and services that accelerate clients' project momentum and achievement of their desired IT and business outcomes. Our vision is to be an indispensable partner to our clients and the preferred career destination for digital and technology experts. CTG has operations in North America, South America, Western Europe, and India. For more information, visit www.ctg.com.
Our culture is a direct result of the people who work at CTG, the values we hold, and the actions we take. In other words, our people are the culture. It's a living, breathing thing that is renewed every day through the ways we engage with each other, our clients, and our communities. Part of our mission is to cultivate a workplace that attracts and develops the best people, reflected by our recognition as a Great Place to Work-certified company across many of our global operations.
CTG will consider for employment all qualified applicants including those with criminal histories in a manner consistent with the requirements of all applicable local, state, and federal laws.
CTG is an Equal Opportunity and Affirmative Action Employer. CTG will assure equal opportunity and consideration to all applicants and employees in recruitment, selection, placement, training, benefits, compensation, promotion, transfer, and release of individuals without regard to race, creed, religion, color, national origin, sex, sexual orientation, gender identity and gender expression, age, disability, marital or veteran status, citizenship status, or any other discriminatory factors as required by law. Our Affirmative Action program serves to promote occupational equality and diversity through good faith efforts. CTG is fully committed to promoting employment opportunities for members of protected classes.
Job Function: Customer Support
Education Level: High School Diploma/GED (±11 years)
Work Remote: Yes