Quality Assurance Analyst - RCM (Hybrid)
Neolytix
Job description
About Neolytix:
Neolytix is a boutique Consulting and Management Services Organization that works with small & medium-sized healthcare providers across the United States. Our portfolio of services caters to micro verticals and is built on the expertise we have developed in enabling these practices.
Work with a company where your work can make a real impact!
- We are a boutique company respected for providing no-nonsense advice on key issues that impact them.
- 4.7 stars on Google and 4.2 stars on Glassdoor with 80% of approval rating!
Overview:
We are seeking a dynamic and experienced individual to join our team as a Quality Analyst in the Revenue Cycle Management (RCM) department. The successful candidate will play a crucial role in ensuring the accuracy and efficiency of our medical billing processes.
Requirements:
- Proficient in English communication, both verbal and written.
- Typing speed of 30-35 words per minute.
- Graduation with a strong foundation in Statistical Knowledge.
- 3+ years of hands-on experience as a Payment Poster, Charge Poster, or AR Caller in US healthcare sector.
- In-depth knowledge of HIPAA regulations, CPT codes, and Denials Management.
- Proven experience in monitoring agent calls and providing constructive feedback.
- Ability to identify and propose training needs based on performance assessments.
Responsibilities:
- Demonstrate a comprehensive understanding of Revenue Cycle Management in the context of US Medical Billing for Providers and Hospitals.
- Utilize experience as a Billing Executive to contribute to the efficiency of billing processes.
- Resolve billing queries and issues promptly to prevent delays in payment.
- Ensure timely and accurate delivery of projects within the RCM department.
- Exhibit excellent time management and self-governing skills to meet project deadlines.
- Provide consistent and constructive feedback aimed at enhancing the overall quality of work.
- Collaborate in auditing transactions across different domains, including Charge Entry, Payment Entry, and Denial Handling.
- Offer valuable inputs on client-related issues and suggest improvements to processes or client profile instructions.
Job Types: Full-time, Permanent
Benefits:
- Health insurance
- Paid sick time
- Paid time off
- Work from home
Schedule:
- Monday to Friday
- Night shift
Experience:
- Medical billing/RCM: 3 years (Required)
- Quality Analyst: 1 year (Preferred)
Work Location: Remote/Hybrid
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