RCM Quality Analyst

GI Alliance; Southlake (TX); Remote; USD 60,000 - 75,000; Full time

Job summary

GI Alliance seeks an experienced RCM Quality Analyst to bolster call center operations quality. The role includes analyzing call performance, creating quality scorecards, and facilitating training sessions. Ideal candidates possess a high school diploma and 2-5 years of billing experience, with good analytical and communication skills.

Qualifications

• 2-5 years of prior physician billing experience is required.
• Bilingual is a plus.

Responsibilities

• Conduct quality metrics assessments and provide feedback.
• Collaborate with supervisors on quality performance issues.
• Develop training materials and processes as needed.

Skills

Communication

Customer Service

Analytical

Organizational

Problem-Solving

Attention to Detail

Education

High school diploma or equivalent

Tools

Microsoft Office (Word, Excel)

Job description

Join to apply for the RCM Quality Analyst role at GI Alliance

11 hours ago Be among the first 25 applicants

Join to apply for the RCM Quality Analyst role at GI Alliance

Get AI-powered advice on this job and more exclusive features.

Description

GI Alliance is seeking an experienced RCM Quality Analyst

Description

GI Alliance is seeking an experienced RCM Quality Analyst

Duties of this position include, but are not limited to, the following:

Position purpose

Provides key support to the Call Center Leader in support and management of overall Call Center operations.

Responsibilities/Duties/Functions/Tasks

• Listens to call recording and/or reviews action taken by end user and provides insight and solutions to management to maximize accuracy and customer satisfaction.
• Collaborate with supervisors to share quality performance issues and provide regular reports on overall performance and trends.
• Create and complete quality score cards to track performance levels.
• Participate in (and lead if asked) the quality review sessions with end users.
• Facilitate quality calibration sessions with all vendor partners.
• Identify and support other opportunities for quality improvement across the team.
• Develop materials and process documentation to support training, as needed.
• Keep management informed on critical issues.
• Assists with development of the training and QA process.
• Models and shares best practices with the team members with ability to receive feedback and act when appropriate.
• Do in-depth root cause analysis on escalated accounts or errors that may arise outside of the standard audit % and program.
• Maintains privacy and confidentiality per policy and HIPAA regulations
• Performs other duties as assigned.
  
  

Qualifications

Qualifications

Education: High school diploma or equivalent

Experience: 2-5 years of prior physician billing experience is designated/assigned department/workflow required.

Performance Requirements

• Be able to read and understand medical benefits.
• Good communication skills, both written and verbal.
• Excellent customer service skills are required.
• Proficiency in all Microsoft Office applications, particularly Word and Excel.
• Requires solid analytical, organizational and problem-solving skills.
• Ability to elicit, gather, and analysis data.
• Ability to multi-task and prioritize in a fast-paced environment.
• Strong attention to detail and decision-making skills.
• Ability to perform in a deadline driven environment.
• Ability to work efficiently both independently and in a team-oriented environment.
• Bilingual is a plus.
• Self-motivated with initiative.
• Strong sense of ethics.
  
  

Requirements

Requirements for Level I Status:

• Should be a leader and viewed as a leader by other staff.
• No performance or disciplinary actions in last year.
• Serves as mentor/trainer for teammates in field.
• Considered as subject-matter expert in area by peers, management, and physicians.
  
  

Equipment Operated: This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

Work Environment: Working remotely.

Physical Requirements: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Position may involve standing, sitting, bending, and reaching. May work at computer monitors for prolonged periods with danger of eye strain and muscle pain. Could cause stress if workload is heavy. May on occasion require light lifting of no greater than 20 pounds and some offsite travel.

GI Alliance is an Equal Opportunity Employer. We are committed to creating an inclusive, welcoming, and equitable work environment. Our company values and celebrates the diversity of our physicians, staff and patients. We firmly believe our service is greatly enriched by our diversity of thought, experience, perspective, culture, and background.

Please Note: All job offers are contingent on the successful completion of pre-employment criminal history check.

NOTE: ALL APPLICATIONS MUST BE COMPLETED IN FULL FOR CONSIDERATION.

No phone calls or agencies, please.

EEO/AA-M/F/disabled/protected veteran

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Quality Assurance

• Industries

  Hospitals and Health Care

Referrals increase your chances of interviewing at GI Alliance by 2x

Get notified about new Quality Analyst jobs in Southlake, TX.

Business Analyst with Policy Center- 100% Remote

Senior Quality Engineer - Technology (Delivery)

Senior Quality Engineer - Technology (Delivery)

Education & Quality Coding Analyst- Remote Days

SAP Employee Central Payroll Business Analyst, Staff / Remote

Dallas, TX $110,000.00-$140,000.00 6 days ago

International Business Development Sr. Staff Analyst

Senior Business Tax Analyst - Work From Home

Senior Business Tax Analyst- Work From Home - 3+ Yrs Paid Tax Experience Required

Dallas-Fort Worth Metroplex $81,000.00-$135,000.00 2 weeks ago

Irving, TX $90,000.00-$100,000.00 4 days ago

Sr. Business Intelligence (BI) Data Analyst

Fort Worth, TX $100,000.00-$115,000.00 20 hours ago

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.