Quality Assurance Analyst RCM

Primary point of contact

• Handles contractual billing questions and concerns from internal/external customers.
• Audits the correctness of all facility contracts and FDS entered by AMS (RCM Application Management Support).
• Works with Sales Reps/RGM’s to obtain all outstanding contracts.
• Assists with the transition of the acquisition process, including review of contracts, invoicing pricing, and auditing the accuracy of information in appropriate systems.
• Serves as the primary point of contact for acquisitions to ensure smooth transitions for clients and Billing Team.
• Tracks all DDF, IDX, and TELCOR changes related to facility billing.
• Identifies, interprets, and evaluates inconsistencies, discrepancies, and inaccuracies in DDF files and initiates corrective methods as needed.
• Performs monthly billing audits to ensure compliance with company policies/procedures, government, and contractual requirements.
• Keeps the Manager of Facility Contracting & Quality Assurance (QA) informed of concerns and compliance issues.
• Assists the Contracting & QA Manager in managing and financial performance of business office functions.
• Supports Facility Billing Leadership and assumes other tasks as assigned to support company goals.

ServiceNow Ticketing Tracking/Completion

• Timely response to internal and external customer inquiries via email/voicemail.
• Audits all changes made to DDF, IDX, or TELCOR billing systems for accuracy.

Operations Management

• Aids in the management and efficient operation of the Facility Billing System to ensure accurate billing.

Skills/Experience

• S. Degree in Finance, Accounting, or Healthcare preferred.
• Stellar oral, written, and interpersonal communication skills.
• Minimum of five (5) years facility billing experience.
• Minimum of five (5) years facility contract analytics experience.
• Experience with healthcare billing system solutions and Microsoft Office.
• Strong organizational skills and attention to detail with the ability to meet multiple deadlines.
• Strong experience in managing within a dynamic, challenging, and fast-paced environment while working inclusively with people to achieve shared objectives.

Physical Demands

• Frequent standing, handling, feeling, talking, and hearing.
• Occasional walking, sitting, reaching with hands and arms, stooping, kneeling, crouching, or crawling.
• Lifting and moving up to 15 pounds.
• Close vision, depth perception, and ability to adjust focus.

Work Environment

• Standard office environment.

Benefits

• Competitive wage and robust benefit package for full-time employees.
• Two weeks of vacation time.
• Health Insurance after 30 days!
• Sick time.
• Eight (8) paid holidays.
• Same-day pay available.
• Medical insurance allowance, allowing customization of plan to fit individual needs.
• Dental insurance.
• Vision insurance.
• Disability insurance.
• Company-paid life insurance.
• 401(k) retirement plan.