A healthcare solutions provider is seeking a Quality Analyst to oversee production quality, document scores, and mentor team members in India. The ideal candidate will have over 5 years of experience in US Healthcare RCM, a thorough understanding of the Provider claim life cycle, and excellent communication skills in English. This full-time remote position requires attention to detail and the ability to foster improvement within teams.
Qualifications
5+ Years of experience in US Healthcare RCM in posting transactions and AR Follow-up.
Thorough understanding of Provider claim life cycle.
Excellent communication skills in English.
Responsibilities
Review teams’ production for errors and inaccuracies.
Document and publish quality scores.
Mentor team members to improve quality scores.
Skills
5+ years of experience in US Healthcare RCM
Thorough understanding of Provider claim life cycle
Knowledge of major insurance payers
Knowledge of common denials
Excellent written and communication skills in English
Familiarity with common CPT codes
Job description
Quality Analyst page is loaded## Quality Analystlocations: India - Remotetime type: Full timeposted on: Posted Yesterdayjob requisition id: JR102304**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+ YearsIndividual Contributorlocations: India - Remotetime type: Full timeposted on: Posted 7 Days Ago