Revenue Cycle Quality Assurance Specialist
Jorie AI
full-time
Posted on:
Location Type: Remote
Location: Illinois • United States
Visit company websiteExplore more
Salary
💰 $28 - $32 per hour
About the role
- Conducts routine audits of end-to-end process assignments to ensure proper SOP/guidelines are met.
- Evaluates eligibility verification and pre – authorization processes.
- Evaluates basic coding, charge entry, billing, and claims process, in addition to denied claims to ensure accuracy.
- Identify trends, root causes and system issues related to denials, no response, or underpayments.
- Collaborate with management to develop and implement process improvement plans.
- Maintain QA reports and complete timely weekly/monthly submissions.
Requirements
- High school diploma or equivalent
- 3 or more years of end-to-end revenue cycle operations experience
- Adequate knowledge of all functions in the revenue cycle
- Experience with payer rules, Medicare, Medicaid, commercial and managed care
- Experience with EMR systems
Benefits
- 401(k) matching up to 4%
- Medical
- Dental
- Vision
- Long/Short Term Disability insurance
- Life insurance $25,000 Paid by employer
- PTO 2 weeks
- 10 and half Holidays
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
codingcharge entrybillingclaims processdenied claims analysisprocess improvementSOP complianceeligibility verificationpre-authorization
Soft Skills
collaborationanalytical thinkingproblem-solvingattention to detailorganizational skills