Location: Tampa, FL, USA• Sioux Falls, SD, USA• Texas, USA• South Dakota, USA• Florida, USA
Req Number: Req #1463
Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm’s business: risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs.
We’re proud to be recognized—again! For the fourth year in a row, we’ve been certified by Great Place to Work®, and for the third consecutive year, we’ve earned a spot on Fortune's Best Workplaces in Health Care™ list. These honors reflect our unwavering commitment to fostering a positive, inclusive, and employee-centric culture where people thrive.
Watch this short video for a brief introduction to Paradigm.
Paradigm is seeking a full-time Quality Audit Associate to provide administrative support to the Special Programs Unit (SPU) Managers and Supervisors. The schedule for this position is Monday - Friday, 8 AM to 5 PM Central Time.
Responsibilities:
- Knowledge of and adherence to account guidelines.
- Completes case billing audits in accordance to specific account guidelines.
- Completes daily audit quota as defined by SPU Managers.
- Navigates through customer specific software systems with accuracy and attention to detail.
- Researches and investigates short pays, non-pays and documents appropriately in collections application.
- Performs internal audits as required by SPU customers.
- Running queries, calibrates with customer specific data to insure accuracy.
- Provides case permissions as requested on files.
Qualifications:
- High School Diploma, Post-secondary education preferred.
- Excellent computer skills and knowledge of proprietary company software, Outlook and Excel.
- Operate office machinery including but not limited to: computers, faxes, printers, phones.
- Strong interpersonal communication skills, both verbal and written.
- Works collaboratively with all team members.
- Strong attention to detail, organizational skills as well as ability to multitask and prioritize.
- Exercise judgment and maintain confidentiality.
- Ability to work independently.
- Critical thinking / problem solving skills.
Paradigm believes that fostering a diverse and inclusive workplace is central to our mission of helping more people and transforming lives. We’re striving to build a culture that better reflects the society we live in and empowers our team to deliver the highest levels of compassion and care to those we serve. For us, achieving this goal requires a workforce that respectfully embraces differences and commits to positive change, creating an environment where everyone is able to bring their whole self to work.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
Other details
Equal employment opportunity, including veterans and individuals with disabilities.
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