Quality Anaylyst AR - Hospital Billing

Posted 4 Days Ago
Be an Early Applicant
Hiring Remotely in Office, Machaze, Manica, MOZ
Remote
Senior level
Healthtech • Information Technology • Software • Consulting
The Role
Reviews hospital billing and accounts receivable production for accuracy, documents quality scores, mentors team members, develops reference materials, identifies denial and production trends, and maintains organizational quality standards. The role requires deep knowledge of U.S. healthcare revenue cycle management, provider claim lifecycle, insurance payers, denials, CPT and transaction codes, and AR follow-up.
Summary Generated by Built In

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 U.S. healthcare revenue cycle management, transaction posting, and accounts receivable follow-up
  • Thorough understanding of the provider claim lifecycle
  • Thorough knowledge of major insurance payers
  • Thorough knowledge of common healthcare denials
  • Knowledge of standard revenue cycle management practices
  • Understanding of common U.S. healthcare acronyms and nomenclature
  • Excellent written and verbal communication skills in English
  • Strong grammar skills
  • Knowledge of common CPT codes, transaction codes, and reason codes
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The Company
HQ: Mobile, AL
2,029 Employees

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.

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