Quality Analyst - RCM

Reposted 16 Days Ago
Be an Early Applicant
Quezon City, Metro Manila, National Capital Region
Mid level
Healthtech
The Role
The Quality Analyst will ensure the accuracy of medical billing processes, monitor calls, provide feedback, and resolve billing inquiries within the RCM department.
Summary Generated by Built In

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

Top Skills

Cpt Codes
Denials Management
Hipaa
Medical Billing Software
MS Office
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The Company
HQ: Chicago, Illinois
103 Employees
On-site Workplace
Year Founded: 2012

What We Do

Optimizing Healthcare Organizations through Revenue & Cost Transformation

Neolytix is a Management Service Organization (MSO) serving independent healthcare providers.

Neolytix has been working with healthcare practices for the last 11 years and providing a helping hand for busy medical practitioners. Our services have helped increase monthly collections, create efficient processes for office administration, improved patient experience and free up physician time for providing better care.

We provide shared services solutions for Medical Offices supporting Revenue Cycle Management, Credentialing, Virtual Assistants, IT Support, Practice Marketing with guaranteed impact on the overall bottom line. That means better service for a lower cost.

#MedicalBilling #RPM #MSO #medicalbilling #remotepatientmonitoring #valuebasedcare #revenuecyclemanagement #Healthcareproviders #digitalhealth

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