Thorough understanding of provider claim life cycle
Knowledge of major insurance payers and common denials
CPSI/TruBridge is seeking a Quality Analyst with over five years of experience in US Healthcare Revenue Cycle Management (RCM) to ensure production accuracy and enhance team performance. The role involves mentoring team members, documenting quality scores, and maintaining high production standards while possessing a thorough understanding of healthcare claim processes and insurance practices
Job Summary
The Quality Analyst is responsible for reviewing teams' production for errors and inaccuracies while documenting and publishing quality scores.
Candidates must possess over five years of experience in US Healthcare Revenue Cycle Management, specifically in posting transactions and AR follow-up.
The role involves mentoring team members, identifying trends in denials, and maintaining organizational production and quality standards.
Matching Summary
Match Score: 85
CPSI/TruBridge is seeking a Quality Analyst with over five years of experience in US Healthcare Revenue Cycle Management (RCM) to ensure production accuracy and enhance team performance. The role involves mentoring team members, documenting quality scores, and maintaining high production standards while possessing a thorough understanding of healthcare claim processes and insurance practices.
Skills & Requirements
Must-have
5+ years US Healthcare RCM experience
Thorough understanding of provider claim life cycle
Knowledge of major insurance payers and common denials
Standard practices of Revenue Cycle Management
Familiarity with CPT codes, transaction codes, and reason codes
Nice-to-have
Excellent written and communication skills in English
Ability to mentor team members on quality scores
Seamless transition capability to AR Analyst role
Experience creating reference guides and cheat sheets
Key Requirements
5+ Years of experience in US Healthcare RCM
Thorough knowledge of major insurance payers
Understanding of common CPT codes and reason codes
Excellent English grammar and communication skills