Quality Analyst
- Review teams’ production for errors and inaccuracies.
- Document and publish quality scores.
- Council and mentor team members to improve their quality scores.
- Create cheat sheets and reference guides to assist teams in improving quality.
- Be able to move seamlessly into the AR Analyst role temporarily if the need
arises.
- Identify and report common trends in teams’ production, denials and any global
issues.
- Maintain production and quality standards declared by the organization.
Requirements:
- 5+ Years of experience in US Healthcare RCM in posting transactions and AR
Follow-up.
- Should have a thorough understanding of Provider claim life cycle.
- Must have thorough knowledge of major insurance payers.
- Must have thorough knowledge of common denials.
- Must know standard practices of RCM.
- Must have understanding of common acronyms and nomenclature in US
Healthcare.
- Should have excellent written and communication skills in English. Good
grammar is a must.
- Must have fair knowledge of common CPT codes, transaction codes and reason
codes.
Experience: 5+ Years
Individual Contributor
Skills Required
- 5+ years of experience in US Healthcare RCM
- Thorough understanding of Provider claim life cycle
- Knowledge of major insurance payers
- Knowledge of common denials
- Knowledge of standard practices of RCM
- Understanding of common acronyms and nomenclature in US Healthcare
- Excellent written and communication skills in English
- Knowledge of common CPT codes
What We Do
TruBridge provides healthcare technology solutions, including electronic health records (EHR) and revenue cycle management (RCM), designed to help community and rural hospitals improve financial and clinical outcomes.
