Supervisor, RCM Quality Audit

Hanger, Inc.; United States; Remote; USD 35,817 - 43,394; Full time

Benefits offered by this job

Competitive Compensation Packages

8 Paid National Holidays & 4 additional Floating Holidays

Medical, Dental, and Vision Benefits

401k Savings and Retirement Plan

Paid Parental Bonding Leave

Job summary

A leading healthcare company in the United States is seeking a Supervisor for the RCM Quality Audit role. This position involves conducting quality audits, managing revenue cycle functions, and ensuring compliance. Ideal candidates should have relevant healthcare revenue cycle experience and strong analytical skills. This is a full-time remote role with competitive compensation and benefits.

Qualifications

• 1-2 years of relevant work experience within healthcare revenue cycle.
• Excellent written and oral communication skills.
• Prior experience auditing revenue cycle processes preferred.

Responsibilities

• Perform routine and targeted quality audits.
• Distribute and allocate work based on priorities.
• Provide training sessions to address quality deficiencies.

Skills

Analytical skills

Communication skills

Organizational skills

Problem solving skills

Tools

Microsoft Office Suite

Job description

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Pay found in job post

Retrieved from the description.

Base pay range

$26.00/hr - $31.50/hr

Why Us?

With a mantra of Empowering Human Potential, Hanger, Inc. is the world's premier provider of orthotic and prosthetic (O&P) services and products, offering the most advanced O&P solutions, clinically differentiated programs and unsurpassed customer service. Hanger\'s Patient Care segment is the largest owner and operator of O&P patient care clinics nationwide. Through its Products & Services segment, Hanger distributes branded and private label O&P devices, products and components, and provides rehabilitative solutions to the broader market. With 160 years of clinical excellence and innovation, Hanger\'s vision is to lead the orthotic and prosthetic markets by providing superior patient care, outcomes, services and value. Collectively, Hanger employees touch thousands of lives each day, helping people achieve new levels of mobility and freedom.

Could This Be For You?

We are seeking a Supervisor, RCM Quality Audit - Remote Reporting to the Manager of RCM Quality Audit as part of the Revenue Cycle Performance Group, the Revenue Cycle Quality Auditor position is an integral role in the success of the Revenue Cycle team. The Revenue Cycle Quality Auditor is responsible for performing routine and targeted quality audits of both offshore and onshore processes, with the goal of ensuring that quality and performance standards are being met.

The ideal candidate for this role is detail-oriented, has an eagerness for training and education and exhibits a patient and calm demeanor. Candidate must have extensive revenue cycle experience understanding the full RCM Cycle including but not limited to: Patient registration, benefit review, prior authorization processes, coding and billing, claim submission, payment posting, denial management, and collections.

Your Impact

Principal Duties And Responsibilities (Essential Functions)

• Responsible for performing & maintaining the quality assurance processes for Revenue Cycle functions across the organization, with an intense focus on offshore processes.
• Ability to distribute and allocate work.
• Ability to manage multiple functions and activities; strong organizational skills
• Strong interpersonal, oral, and written communication skills
• Analytical skills: ability to assess an operation or process and identify improvement opportunities; able to develop and implement actions to drive improvement
• Performs routine and targeted audits to ensure quality and compliance standards are met.
• Processes error disputes, providing timely feedback to staff.
• Performs account review for account financial resolution opportunities and performance opportunities.
• Observes areas for operational workflow opportunities.
• Analyzes trends in data, making appropriate recommendations for additional training as needed.
• Working directly with the RCM Quality Audit Manager, prepare and participate in re-education/ training sessions with onshore and offshore staff to remediate quality deficiencies.

Minimum Qualifications

• 1-2 years of relevant work experience within healthcare revenue cycle
• A valid driver’s license and driving record within the standards outlined within Hanger’s Motor Vehicle Safety Policy and Procedures.

Additional Success Factors

• Excellent written and oral communication skills
• Strong analytical, problem solving, trouble shooting skills
• Skilled in the use and application of Microsoft Office Suite (Power Point, Word, Excel, Outlook)
• Ability to demonstrate a calm demeanor in stressful work situations
• Prior experience auditing revenue cycle processes preferred.

Pay range of $26.00 to $31.50 per hour + annual bonus: up to 5% of base pay depending on bonus criteria. This pay range is posted to comply with wage transparency laws. Hanger salary ranges vary based on skill, ability, knowledge, geographic location and other variables.

Our Investment in You

• Competitive Compensation Packages
• 8 Paid National Holidays & 4 additional Floating Holidays
• PTO that includes Vacation and Sick time
• Medical, Dental, and Vision Benefits
• 401k Savings and Retirement Plan
• Paid Parental Bonding Leave for New Parents
• Flexible Work Schedules and Part-time Opportunities
• Generous Employee Referral Bonus Program
• Mentorship Programs- Mentor and Mentee
• Student Loan Repayment Assistance by Location
• Relocation Assistance
• Regional & National traveling CPO/CO/CP opportunities
• Volunteering for Local and National events such as Hanger’s BAKA Bootcamp and EmpowerFest

Hanger, Inc. is committed to providing equal employment opportunity in all aspects of the employer-employee relationship. All conditions and privileges of employment are administered to all employees without discrimination or harassment because of race, religious creed, color, age, sex, sexual orientation, gender identity, national origin, religion, marital status, medical condition, physical or mental disability, military service, pregnancy, childbirth and related medical conditions, special disabled veteran status, or any other classification protected by federal, state, and local laws and ordinances. The company will comply with all applicable state or local fair employment laws that forbid discrimination or harassment on the basis of other protected characteristics. Retaliation against any employee for filing or supporting a complaint of discrimination or harassment is prohibited.

#ERF-HRC

Seniority level

Mid-Senior level

Employment type

Full-time

Job function

Quality Assurance

Industries

Hospitals and Health Care

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