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:
Live anywhere that meets personal office /at home work requirements in the
United States.
Work from a personal office/at home location.
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 /hr
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.