Quality Analyst -ar

CPSI/TruBridge

Chennai, , India
Us healthcare rcm experience
Provider claim life cycle understanding
Major insurance payers knowledge
Review teams’ production for errors and inaccuracies and document and publish quality scores

Job Summary

  • Review teams’ production for errors and inaccuracies and document and publish quality scores.
  • Council and mentor team members to improve their quality scores and create cheat sheets and reference guides to assist teams.
  • Identify and report common trends in teams’ production, denials and any global issues while maintaining production and quality standards.

Matching Summary

Review teams’ production for errors and inaccuracies and document and publish quality scores.

Skills & Requirements

Must-have

  • US Healthcare RCM experience
  • Provider claim life cycle understanding
  • Major insurance payers knowledge
  • Common denials knowledge
  • Standard RCM practices
  • US Healthcare acronyms and nomenclature
  • Excellent written and communication skills

Nice-to-have

  • Mentoring team members
  • Creating reference guides
  • Seamlessly moving into AR Analyst role

Key Requirements

  • 5+ Years of experience
  • Individual Contributor role
  • US Healthcare RCM posting transactions
  • US Healthcare RCM AR Follow-up
  • Understanding of common CPT codes
  • Understanding of transaction codes
  • Understanding of reason codes

Work Rights

Not specified

Tailored Resume

Cover Letter