Quality Analyst AR - Hospital Billing

TruBridge, Inc; Chennai; Remote; INR 5,709,000 - 7,612,000; Full time

Job summary

TruBridge, Inc. seeks a Quality Analyst in India to review production for errors, document quality scores, and mentor teams to lift performance. The role includes creating cheat sheets and reference guides, with the ability to move into the AR Analyst position temporarily if needed, while identifying trends in denials and global issues.

You will help maintain production and quality standards as declared by the organization and collaborate with a remote team delivering healthcare RCM solutions.

Qualifications

• 5+ years in US Healthcare RCM with posting transactions and AR follow-up.
• Deep understanding of Provider claim life cycle.
• Knowledge of major insurance payers.
• Knowledge of common denials and RCM practices.
• Familiarity with healthcare acronyms and nomenclature.
• Excellent written and verbal English communication.

Responsibilities

• Review teams’ production for errors and inaccuracies.
• Document and publish quality scores.
• Counsel and mentor team members to improve quality scores.
• Create cheat sheets and guides to assist teams in improving quality.
• Be able to temporarily move into the AR Analyst role if needed.
• Identify and report trends in production, denials and issues.
• Maintain production and quality standards declared by the organization.

Skills

English communication

Healthcare knowledge

RCM familiarity

Job description

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

What’s it like to work for TruBridge?

You’ll help connect providers, patients and communities with innovative solutions that create real value by supporting both the financial and clinical sides of healthcare delivery. You’ll be part of a remote team that’s encouraged to push boundaries and look at things differently. And you’ll contribute to supporting providers in delivering the best care possible for their communities.