Remote Quality Control Jobs in Raleigh, NC (NOW HIRING)

IEM is looking for a Full Time - Verification of Benefits and Quality Control Specialist (VOB QC Specialist) who will be responsible for reviewing applications for quality, comprehensiveness, and eligibility while documenting and communicating with case managers as needed within the functional area with limited supervision. A VOB/QC Specialist will maintain a complete understanding of all applicable program policies, procedures, and requirements within the guidelines established to follow program compliance. May also provided support with day-to-day project management activities for quality control, which may include supplementary responsibilities relative to the program and its needs.

Primary Location:

• Liveanywhere that meets personal office /home work requirements in the United States.
• Preference will be given to candidates who reside in Florida.

Essential Functions:

• Review records for duplication of benefits (DOB), fraud, waste, inconsistencies, investigate, and collaborate with internal partners to resolve issues with analysis and customer service skills. Where problems arise, log support issues, communicate, resolve and escalate according to defined standard operating procedures.
• Analyze and verify documentation provided for inconsistencies, accuracy, and various discrepancies with an understanding of program policy.
• Understand program needs, policy, departmental process flows, and standard operating procedures.
• Participate in updates and improvements to Verification of Benefits & Quality Control policies and processes.
• Follow-up with identified compliance issues, initiate corrective actions, based on policy guidelines, and implement program controls, as necessary.
• Manage individual workload, productivity, and communications that enable accurate, efficient, and policy compliant processing.
• Contribute to team success with effective communication and sound decision making.
• Respond to questions and requests professionally and in a timely manner.
• Other remote duties as assigned.

Minimum Qualifications:

• Education: An Associate's degree or higher from an accredited university in a Business, Business Administration, Finance or Accounting, Communications, Public Administration / Policy, or relevant field.
• Experience: Three (3) or more years of experience providing high level review of documentation and strong analytical skills.
• Experience and Degree Substitution: An equivalent combination of experience and training that demonstrates the required knowledge, skills, and abilities necessary to effectively perform the duties and functions of this position may be considered in lieu of a degree.
• Ability to exercise impartial, unbiased professional care when reviewing case files. Including the capability of the highest level of professional objectivity for gathering, evaluating, and communicating information.
• Ability to perform tasks within a fast-paced environment and limited supervision.
• Excellent verbal and written communication skills and collaboration with team members.
• Understanding the importance and handling of personally identifiable information, particularly health and/or income related information.

Preferred Qualifications:

• Experience with housing policy, materials, and processes.
• Documented experience with document verification, quality assurance and control, and/or appeals processing will also be considered.
• A working knowledge of Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Award, 2 C.F.R. Part 200, especially Subpart F - Audit Requirements of the Uniform Guidance, implementing the Single Audit Act.
• Experience with MS Office and Adobe Reader.

Additional Information:

• Personal Office:All personal office work environments require the ability to maintain minimum Internet speeds of 25 Mbps upload and 3 Mbps download, as well as a ping rate of 100 ms or less during working hours, regardless of the type and number of devices using your Internet connection. You must also have account privileges and access to your Internet service provider account during working hours for the purposes of maintaining the Internet connection, if needed.

Benefits and more:

• Hourly rate based on experience and location : $28.84 - $31.25
• 10 paid Holidays
• Vacation Pay
• Sick Pay
• 401 (K) plan with matching
• Company paid STD and LTD

Equal Employment Opportunity.All IEM employment decisions, including recruiting, hiring, placement, training availability, promotion, compensation, evaluation, disciplinary actions, and termination of employment, if necessary, are made without regard to an individual's race, color, religion, creed, sex (including sexual orientation, gender identity, and gender expression), national origin, ancestry, age, physical or mental disability, medical condition, genetic information, pregnancy (including childbirth and related medical conditions), marital status, military or veteran status, citizenship or immigration status, or any other characteristic protected under applicable law.

Reasonable Accommodation.IEM is committed to providing reasonable workplace accommodations for individuals with disabilities. If you require assistance or reasonable accommodation during any part of the application or employment process, please email IEMhumanresources@iem.com with specific details about the requested accommodation. All accommodation requests are reviewed case-by-case in compliance with applicable law.