Quality Analyst

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
• Individual Contributor

Benefits

Additional Information

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.

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Company Intel

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