Avalon Healthcare Solutions · 6 days ago
Quality Support Analyst
United States
Full-time
Remote
Mid, Senior Level
3+ years expAvalon Healthcare Solutions is the nation’s leader in diagnostic intelligence, focused on transforming diagnostic testing across the healthcare ecosystem. The Quality Support Analyst will support internal operations, resolve client inquiries, conduct claims research, and collaborate with various departments to enhance service delivery and operational accuracy.
AnalyticsHealth CareHospitalMedical
Responsibilities
Act as the Quality Subject Matter Expert and support team for service delivery
Acquire an in-depth understanding of internal processes to resolve customer inquiries effectively and efficiently
Develop, run, and execute client queries for internal reports
Pull and prepare monthly, quarterly, and ad hoc reports for assigned clients
Evaluate disputed claims in denial management process for system configuration, claims processing, and/or contractual issues to facilitate health plan review of claims
Support the resolution of operational inaccuracies and trends
Collaborate with the Service Delivery team and other internal departments to provide excellent service
Understand departmental needs and recommend process improvements
Assist with special assignments and projects that require extensive and thorough research
Qualification
Required
Previous experience working in a health plan or healthcare services company is required
3+ years' in a relevant healthcare field – claims processing, claims coding, customer service, and/or account management
Maintains a solution-oriented, analytical mindset, even when faced with ambiguity or shifting priorities
Demonstrates a strong sense of ownership and accountability for outcomes and continuous improvement
Open communication and consistent follow up to keep deliverables on track
Expert proficiency in written and oral communication skills required with a high attention to detail to documentation
Working knowledge of SQL queries to run client reports
Expert proficiency in computer skills including Microsoft Office Suite products (Excel advanced a must)
Attention to detail is critical
Preferred
Bachelor's degree preferred; 5+ years relevant experience in lieu of a degree
Experience with data analysis tools
Reporting and JIRA experience is preferred
Experience or certification in medical billing and/or medical coding preferred
Knowledge of and experience with laboratory medical coding rule and regulations, compliance, reimbursement, and bundling issues
Company
Avalon Healthcare Solutions
Avalon is the world’s first Lab Insights company pioneering a new era of value-driven care by unlocking the potential of lab results.
51-200 employees
Funding
Current Stage
Growth StageTotal Funding
$54.27MKey Investors
Francisco Partners
2026-01-12Private Equity
2026-01-12Acquired
2018-01-01Debt Financing· $25M
Leadership Team
William (Bill) Kerr
Co-Founder & CEO
Recent News
2026-01-16
Bizjournals.com Feed (2025-11-12 15:43:17)
2026-01-13
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