Quality Auditor Referral Management Team
Share
Job Location:
Coppell, TX - USA
Monthly Salary:
$ 22 - 23
Posted on:
15 days ago
Vacancies:
1 Vacancy
Job Summary
About IKS
Founded in 2006 IKS Health enables providers to provide better safe and more efficient care at scale. With over 12000 employees including over 1500 physicians and technologists IKS Health provides solutions for over 150000 providers across some of the largest and most prestigious healthcare provider groups in the country. Through our Provider Enablement Platform IKS Health provides a strategic blend of technology and expertise with the aim of restoring joy and viability to the practice of medicine by giving providers the tools and resources they need to focus on what matters most the patient. We offer clinical financial and administrative healthcare solutions for improved operational efficiency better patient outcomes optimized productivity and revenue.
Position Summary
The Quality Auditor (QA) is responsible for monitoring evaluating and providing feedback on the accuracy compliance and service quality of the Referral Coordinators within the Contact Center. This role ensures that all referral processing and member interactions align with organizational standards payer requirements HIPAA guidelines and customer experience expectations. The QA partners with Operations Training and Compliance teams to drive performance excellence and continuous process improvement.
Key Responsibilities
Quality Monitoring & Evaluation
Conduct regular call and transaction audits of Referral Coordinators to assess accuracy professionalism and adherence to workflows and compliance protocols.
Review documentation in CRM/EHR systems for completeness timeliness and correctness.
Score interactions based on predefined quality metrics and provide structured feedback to improve individual and team performance.
Identify trends and recurring errors recommending corrective actions and training focus areas.
Reporting & Analytics
Prepare daily weekly and monthly QA reports highlighting audit results trends and improvement opportunities.
Track and analyze quality scores error categories and root causes to support leadership decisions.
Maintain audit records and ensure data accuracy for compliance and reporting purposes.
Collaboration & Coaching
Partner with Supervisors Trainers to calibrate quality standards and ensure scoring consistency.
Participate in calibration sessions to align evaluation criteria across QA teams.
Provide targeted coaching feedback or support in refresher sessions based on audit findings.
Compliance & Process Improvement
Ensure all monitored interactions comply with HIPAA CMS and internal policies.
Recommend process or script enhancements to improve referral accuracy turnaround time and patient/member experience.
Support internal or external audits as needed by Compliance or Client teams.
Job Type: Full-time On-site (Shift Hours: 10 a.m. - 7p.m. CST)
Job Pay: $23/Hour
Supplemental Pay type:
- Variable incentive program
Compensation and Benefits: The base hourly range for this position is $22 to $23. Pay is based on several factors including but not limited to current market conditions location education work experience certifications etc. IKS Health offers a competitive benefits package including healthcare 401 (k) and paid time off (all benefits are subject to eligibility requirements for full-time employees). IKS Health is an equal opportunity employer and does not discriminate based on race national origin gender gender identity sexual orientation protected veteran status disability age or other legally protected status.
Key Skills
- Quality Assurance
- Quality Inspection
- Calipers
- ISO 9001
- Quality Audits
- Process Mapping
- Fair Housing Regulations
- Quality Control
- Underwriting
- cGMP
- As9100
- Manufacturing
About Company
IKS Health delivers revenue cycle management, clinical support, and value based care solutions to create transformative value in healthcare.
