Quality Assurance Analyst, Accounts Receivable

Nimblercm; Chesterfield (MO); Remote; USD 60,000 - 90,000; Full time

Job summary

Join a high-growth company as a Quality Assurance Analyst for Accounts Receivable, where you'll ensure claims accuracy and compliance within ambulatory surgery centers. This full-time remote role will leverage your auditing expertise to drive operational excellence and enhance the financial outcomes of healthcare organizations.

Qualifications

• Minimum of three years of experience in accounts receivable or revenue cycle management.
• At least one year of auditing experience preferred.
• Proficiency with auditing tools and metrics.

Responsibilities

• Audit AR claims for accuracy and compliance with guidelines.
• Identify trends and provide actionable feedback for improvements.
• Collaborate for training resources and process enhancements.

Skills

Attention to detail

Analytical skills

Communication

Collaboration

Education

3+ years in accounts receivable

Experience in auditing

Tools

Epic

Job description

Quality Assurance Analyst, Accounts Receivable

Quality Assurance Analyst, Accounts Receivable

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Why work at nimble?

This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience working closely with Executive leadership. As an organization, we are in high-growth mode through acquisition with a laser focus on positive culture building!

Job Type

Full-time

Description

Why work at nimble?

This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience working closely with Executive leadership. As an organization, we are in high-growth mode through acquisition with a laser focus on positive culture building!

Who we are!

nimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our tech-enabled solutions allow surgical organizations to streamline their revenue cycle processes, reduce administrative burden, and improve financial outcomes. Join over 1,100 surgical organizations that trust nimble solutions and its advisors to bring deep insights and actionable intelligence to maximize their revenue cycle.

What you’ll be doing!

nimble solutions (“nimble” and f/k/a National Medical) is seeking a detail-oriented Quality Assurance Representative to join our team and play a pivotal role in ensuring the accuracy and completeness of accounts receivable (AR) claims for our Ambulatory Surgery Centers (ASCs) and Professional Accounts Receivable operations. As part of a market-leading brand in a high-growth industry, this role offers an exceptional opportunity to work closely with leadership while gaining valuable experience in a dynamic and supportive environment. The primary responsibility of this role is to audit AR claims against an established rubric, ensuring they meet quality and compliance standards. Your expertise will directly impact operational excellence by driving improvements in claims accuracy and supporting a culture of accountability and precision.

The ideal candidate will have a proven track record in accounts receivable, revenue cycle management, and auditing. Success in this role requires exceptional attention to detail, strong analytical skills, and the ability to identify patterns and discrepancies in claim processing. You will leverage your expertise to provide actionable feedback to enhance team performance, optimize processes, and ensure compliance with best practices. Join us and contribute to our mission of delivering excellence in healthcare financial management while advancing your career with a company dedicated to growth and innovation.

• Audit accounts receivable claims for ambulatory surgery centers (ASCs) and professional billing to ensure accuracy, completeness, and compliance with established guidelines
• Ensuring a focus on high-dollar and unpaid claims to ensure there are not gaps in the process or team training
• Collaborate with other departments to provide training resources and reporting to support team skill development and process improvements
• Conduct audits to identify trends, errors, and improvement opportunities, delivering actionable feedback and ensuring the QA framework aligns global teams with organizational standards and goals
• Assist in generating detailed audit reports and metrics to communicate findings and recommendations to leadership and key stakeholders
• Proactively recommend process changes and implement solutions to address recurring issues or inefficiencies in AR claim workflows, and stay current with industry trends, regulations, and best practices in revenue cycle management (RCM) to maintain effective and relevant auditing processes
• Support cross-functional teams in driving quality initiatives and continuous improvement efforts across the organization
  
  
  

Requirements

Who you are!

• A minimum of three years of experience in accounts receivable or revenue cycle management, with at least one year of auditing experience preferred
• Proficiency with Epic is a plus
• Comprehensive understanding of accounts receivable processes, revenue cycle management rules, and industry-wide best practices
• Strong analytical skills and attention to detail, with the ability to identify patterns, discrepancies, and areas for improvement in claims processing
• Excellent communication and collaboration skills to effectively provide feedback, reporting, and training support to cross-functional teams
• Proficiency in utilizing auditing tools, systems, and metrics to ensure quality and compliance with organizational and industry standards
  
  
  

Key Competencies

Drives Results: Consistently delivers accurate and timely audit reviews of accounts receivable claims, identifying opportunities for improvement and implementing actionable solutions to enhance operational performance

Communicates Effectively: Clearly conveys audit findings, recommendations, and feedback to leadership and cross-functional teams, fostering a culture of transparency and collaboration

Quality Decision-making: Analyzes complex data and processes to make informed decisions that ensure compliance with industry standards, best practices, and organizational goals

Customer Focus. Demonstrates a commitment to excellence by ensuring AR processes align with the needs of stakeholders and supporting continuous improvements to deliver exceptional service outcomes

Location

Remote position. May require travel to company offices, key company, and industry events

Start Date

Immediate

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Quality Assurance

• Industries

  Hospitals and Health Care

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