Quality Anaylyst AR - Hospital Billing

TruBridge, Inc.; Chennai District; On-site; INR 600,000 - 850,000; Full time

Job summary

TruBridge, Inc. seeks a Quality Analyst to review teams’ production in US Healthcare RCM and publish quality scores. You will mentor teammates, create cheat sheets, and help raise quality metrics.

The role may temporarily transition into AR Analyst duties as needed. You will identify trends in denials and issues and uphold the company’s production standards. Strong English communication is essential, along with in-depth knowledge of CPT codes, transaction codes and reason codes.

Qualifications

• 5+ years of experience in US Healthcare RCM.
• Understand provider claim life cycle.
• Knowledge of major insurance payers.
• Knowledge of common denials.
• Knowledge of standard RCM practices.
• Familiarity with acronyms in US Healthcare.
• Excellent written and verbal English communication.
• Working knowledge of CPT, transaction and reason codes.

Responsibilities

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

Skills

US Healthcare RCM

AR Follow-up

CPT codes

Transaction codes

Reason codes

Denials knowledge

English communication

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.