Quality Analyst
TruBridge
full-time
Posted on:
Location Type: Remote
Location: India
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About the role
- 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.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
US Healthcare RCMposting transactionsAR Follow-upProvider claim life cycleCPT codestransaction codesreason codes
Soft Skills
written communicationcommunication skillsmentoringcounselingdocumentation