Quality Anaylyst AR - Hospital Billing

CPSI; Chennai District; On-site; INR 900,000 - 1,300,000; Full time

Job summary

CPSI is seeking a Quality Analyst to review teams’ production for errors, document and publish quality scores, and mentor staff to improve performance. The role requires deep knowledge of US Healthcare RCM, the provider claim life cycle, and common denials.

The candidate will also prepare cheat sheets and reference guides to uplift overall quality. Flexibility to temporarily move into an AR Analyst role as needed and to identify trends in denials and issues will be valued.

Qualifications

• 5+ years of experience in US Healthcare RCM posting transactions and AR follow-up.
• Solid understanding of the Provider claim life cycle.
• Thorough knowledge of major insurance payers.
• Thorough knowledge of common denials and practices in RCM.
• Familiarity with CPT codes, transaction codes and reason codes.

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 reference guides to help teams improve quality.
• Have ability to move into AR Analyst role temporarily if needed.
• Identify and report trends in production, denials and global issues.
• Maintain production and quality standards declared by the organization.

Skills

US Healthcare RCM

Quality Assurance

AR Denials

CPT codes

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.

Experience: 5+ Years

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