• Conducts routine audits of end-to-end process assignments to ensure proper SOP/guidelines are met. • Evaluates eligibility verification and pre – authorization processes. • Evaluates basic coding, charge entry, billing, and claims process, in addition to denied claims to ensure accuracy. • Identify trends, root causes and system issues related to denials, no response, or underpayments. • Collaborate with management to develop and implement process improvement plans. • Maintain QA reports and complete timely weekly/monthly submissions.