Quality Analyst - Billing & Rejection

CPSI/TruBridge

Not specified
Complete billing process reconciliation experience
Fix ch/payer rejections and system edits
Review unbilled charges and batch submissions
CPSI/TruBridge is seeking a Quality Analyst specializing in Billing & Rejection, requiring extensive experience in medical billing processes and strong analytical skills. The ideal candidate should have a hospital billing background and be adept in managing claim submissions, handling rejections, and documenting workflows

Job Summary

  • The role requires a candidate with extensive experience in the complete medical billing process reconciliation from charges entered to submission.
  • Responsibilities include fixing payer rejections, reviewing unbilled charges, and tracking claim submissions for smooth processing.
  • The ideal candidate must have a hospital billing background with strong skills in documenting workflows and identifying standardization opportunities.

Matching Summary

Match Score: 85

CPSI/TruBridge is seeking a Quality Analyst specializing in Billing & Rejection, requiring extensive experience in medical billing processes and strong analytical skills. The ideal candidate should have a hospital billing background and be adept in managing claim submissions, handling rejections, and documenting workflows.

Skills & Requirements

Must-have

  • Complete billing process reconciliation experience
  • Fix CH/Payer rejections and system edits
  • Review unbilled charges and batch submissions
  • Hands-on software NG ECW Epic knowledge
  • 5+ years RCM with 3 years in Billing

Nice-to-have

  • Experience in training and coaching staff
  • Strong client interaction skills
  • Ability to identify workflow gaps
  • Proactive and assertive attitude
  • Excellent written and verbal communication

Key Requirements

  • 5+ years in Revenue Cycle Management (RCM)
  • 3+ years specifically in Medical Billing
  • Hospital Billing Background required
  • Individual Contributor role type

Work Rights

Not specified

Tailored Resume

Cover Letter