Payment Specialist – QA

Remote Full-time
Job Description: • Perform detailed reviews and quality assurance checks on EN/VR payment and eligibility transactions processed via iTOPSS to ensure accuracy, completeness, and adherence to program guidelines. • Reconcile EN/VR transactions and resolve discrepancies between system records and case file documentation, flagging and correcting errors as needed. • Monitor payment and eligibility workflows to proactively identify potential issues related to overpayments, eligibility status changes, or incorrect transactions. • Assist with overpayment resolution by collaborating with ENs, VR agencies, and internal stakeholders—researching issues, preparing documentation, and communicating findings and solutions to all parties involved. • Analyze data and prepare reports on error trends, recurring reconciling issues, and QA metrics to inform management and support continuous process improvements. • Provide expert guidance on SSA payment policies, eligibility criteria, iTOPSS navigation, and transaction processing to partner organizations and internal teams. • Conduct training and develop resources on accurate transaction processing, reconciliation protocols, and quality standards for EN/VR program staff. • Maintain confidential and compliant records for all QA activities, reconciliation efforts, and overpayment cases in accordance with federal policy. • Support internal and external audits by preparing accurate transaction histories, QA logs, and reconciliation documentation as requested. • Stay current with SSA program updates, new iTOPSS features, regulatory changes, and best practices in EN/VR transaction management and quality assurance. Requirements: • Bachelor’s degree (BS) from an accredited institution is required. • Five (5) to seven (7) years of relevant professional experience in program administration, quality assurance, payments processing, or related roles—preferably with direct experience in SSA, EN, VR programs, or government payment systems. • In-depth knowledge of EN/VR payment and eligibility processes; experience with iTOPSS or similar transactional systems is highly preferred. • Demonstrated ability to perform detailed reconciliations, quality assurance checks, and maintain accuracy under stringent regulatory requirements. • Proven analytical and problem-solving skills, specifically in reconciling complex payment and eligibility cases and resolving overpayment issues. • Excellent communication skills, both written and verbal, with the ability to clearly document findings, compose reports, and provide training or guidance. • Strong proficiency in case management, data analysis, and standard productivity software (e.g., Microsoft Office Suite; experience with database or audit tools a plus). • High degree of professionalism, integrity, and attention to detail, with demonstrated ability to manage confidential and sensitive information. • Strong organizational skills and ability to independently manage multiple priorities, deadlines, and competing tasks in a dynamic environment. • Commitment to continuous learning and adherence to all applicable SSA policies, federal regulations, and quality assurance standards. Benefits: • Paid vacation & Sick leave • Health insurance coverage • Career training • Performance bonus programs • 401K contribution & Employer Match • 11 Federal Holidays Apply tot his job
Apply Now

Similar Opportunities

Software Engineer, Macro Quant Analytics

Remote Full-time

Quantitative Analyst

Remote Full-time

Senior Quantitative Model Developer - Loss Forecasting Model Development

Remote Full-time

❖Experienced Real Estate Agent or Broker , Virtual Office 90/10 Split!

Remote Full-time

Real Estate Attorney (NY) for Fast Deed Transfer to LLC

Remote Full-time

Real Estate Consultant

Remote Full-time

Breast Teleradiology – Part-Time, Full Flexibility, Work on Your Terms!

Remote Full-time

Medical Biller - Radiology Specialist (US Healthcare Experience Required)

Remote Full-time

Creative & Marketing Coordinator for Real Estate

Remote Full-time

Quantitative Developer – C++ Infrastructure for Quant Analytics

Remote Full-time

**Experienced Telecommute Customer Service Representative – Delivering Exceptional Client Experiences in a Dynamic Remote Work Environment at blithequark**

Remote Full-time

Experienced Full-Time Remote Data Entry Clerk – Payroll, HR, and Accounting Administration with Leading Educational Services Provider Blithequark

Remote Full-time

IT Risk and Controls Analyst

Remote Full-time

**Experienced Customer Support Representative – Part-Time Remote Opportunity at blithequark**

Remote Full-time

Experienced Production Associates for All Shifts - Medical Device Manufacturing at Medline Industries

Remote Full-time

Online Language Teacher (Remote) – USA Remote Jobs

Remote Full-time

Compliance Manager (Remote based in US) | Tenet Healthcare | Remote (United States)

Remote Full-time

**Experienced Customer Service Representative – Work from Home Opportunity with arenaflex**

Remote Full-time

Software Development Engineer, AWS Vetting

Remote Full-time

Veterinary Technician: Intermediate Care Ward

Remote Full-time
← Back to Home