Quality Audit Associate in Walnut Creek, California at Paradigm

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 in search of a remote Quality Audit Associate. This role will involve providing administrative assistance to the SPU Managers and Supervisors. The schedule for this position is Monday - Friday, 8 AM to 5 PM.

The Quality Audit Associate is responsible for learning and adhering to account guidelines; using account guidelines to complete case billing audits; researching and investigating short pays, non-pays, and documents appropriately in the collections application; performing internal audits; and running queries with customer specific data.

Qualifications:

• High school diploma or equivalent required; post-secondary education preferred.
• Excellent computer skills, especially with data entry.
• Intermediate to advanced Microsoft Outlook and Excel skills.
• Strong interpersonal communication skills, both verbal and written.
• Strong attention to detail.
• Organizational skills and ability to multitask and prioritize.
• Ability to exercise sound judgment and maintain confidentiality.