Quality Analyst

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.
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