Quality Assurance Analyst RCM

TridentCare; United States; Remote; USD 44,000 - 46,000; Full time

Benefits offered by this job

Two weeks of vacation time

Sick time

8 paid holidays

Medical insurance allowance

Vision insurance

Disability insurance

401(k)

Job summary

TridentCare is seeking a Facilities Contracting & Quality Assurance Services Analyst to join our remote team. You will review and audit facility contracts, ensuring billing accuracy after entries in the billing system across lines of business, serving as the main contact for contractual billing questions.

Ideal candidates have at least five years of facility billing and contract analytics experience, strong communication skills, and proficiency with healthcare billing systems and Microsoft

Qualifications

• Five years facility billing experience
• Five years facility contract analytics
• Experience with healthcare billing system solutions
• Strong organizational skills and attention to detail
• Ability to meet multiple deadlines
• Experience working in dynamic, fast-paced environments

Responsibilities

• Primary point of contact for contractual billing questions from internal/external customers
• Audits the correctness of all facility contracts and FDS entered by AMS
• Work with Sales Reps/RGMs to obtain outstanding contracts
• Assist with transition of acquisition processes, including review of contracts and invoicing
• Serve as primary contact for acquisitions to ensure smooth transition for clients and Billing Team
• Track all DDF, IDX, and TELCOR changes related to facility billing
• Perform monthly billing audits to ensure compliance with policies and government requirements
• Assist Manager in management and financial performance of business office functions
• Support Facility Billing Leadership and other tasks as assigned

Skills

Microsoft Office Advanced

Computer Skills Advanced

Customer Service Advanced

Analysis Intermediate

Education

Associates or better

High School or better

Some college or better

Job description

Locations

Showing 1 location Recruit MD Hunt Valley Hunt Valley, MD 21031, USA

• Remote
• Salary : $45,000 USD per year
• Pay or shift range: $44,000 USD to $46,000 USD The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications and other job-related reasons.
• Administrative
• Full-Time
• Requisition #: QUALI031104

Description

ROLE:

Facility Contracting & Quality Assurance (QA) Services analyst is responsible for the review and auditing of facility contracts to include but not limited to reviewing the billing accuracy after the contract has been entered into the billing system for all lines of business.

TASKS AND RESPONSIBILITIES:

• Primary point of contact for contractual billing questions and/or concerns from internal/external customers.
• Audits the correctness of all facility contracts and FDS entered by AMS (RCM Application Management Support)
• Work with Sales Reps/RGM’s to obtain all outstanding contracts.
• Responsible for assisting with the transition of the acquisition process, to include review of contracts, invoicing pricing and auditing the accuracy of information in appropriate systems.
• Serves as the primary point of contact for acquisitions to ensure smooth transition for clients and Billing Team.
• Track all DDF, IDX, and TELCOR changes related to facility billing.
• Identifies, Interprets and Evaluates inconsistencies, discrepancies and inaccuracies in DDF files then initiates corrective methods as needed.
• Perform monthly billing audits to ensure we are operating in compliance with all company policies/procedures, government and contractual requirements.
• Keeps the Manager of Facility Contracting & Quality Assurance (QA) advised of concerns and compliance issues.
• Assists Contracting & (QA) Manager in the management and financial performance of the business office functions.
• Support Facility Billing Leadership and assume other tasks as assigned to support the goals of the company.
• ServiceNow Ticketing Tracking/Completion

Other Duties

• Timely response to internal and external customer via email/voicemail.
• Audit all changes made to DDF, IDX, or TELCOR billing systems for accuracy.

Operations Management

• Assists with management of the functionality and efficient operation of the Facility Billing System to ensure accurate billing.

SKILLS/EXPERIENCE:

• S. Degree Finance, Accounting or Healthcare preferred.
• Stellar oral, written and interpersonal communication skills.
• Minimum of Five (5) years facility billing experience
• Minimum of Five (5) years facility contract analytics.
• Experience with healthcare billing system solutions and Microsoft Office.
• Strong organizational skills and attention to detail with the ability to meet multiple deadlines.
• Strong experience in managing within a dynamic, challenging and fast pace environment while working inclusively with people to achieve shared objectives.

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is frequently required to stand; to handle or feel; to talk and to hear. The employee is occasionally required to walk, sit, reach with hands and arms and stoop, kneel, crouch or crawl. The employee must occasionally lift and or move up to 15 pounds. Specific vision abilities required by this job include close vision, depth perception and ability to adjust focus.

WORK ENVIRONMENT:

Standard office environment. This is a remote position but candidate should reside within 50 miles of one of these locations for technical support.

Sparks/Hunt Valley, MD

Clearwater, FL

Horsham, PA

Columbus, OH

TridentCare offers a competitive wage and robust benefit package to full time employees. Part time employees are eligible for many of the same below, pro-rated. Benefits include:

• Two weeks of vacation time
• Sick time
• 8 paid holidays
• Medical insurance allowance, giving you the freedom to customize your plan to fit your needs
• Vision insurance
• Disability insurance
• 401(k)

Skills

• Microsoft Office Advanced
• Computer Skills Advanced
• Customer Service Advanced
• Analysis Intermediate

Behaviors

• Thought Provoking : Capable of making others think deeply on a subject
• Detail Oriented : Capable of carrying out a given task with all details necessary to get the task done well

Education

• Associates or better.
• High School or better.
• Some college or better.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.