Specialist I, QA and Learning

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🕒 Maio 27

🏈 Alabama, Arizona, +17 estados a mais – Remoto

🏈 Alabama – Remote 🌵 Arizona – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌪️ Kansas – Remote 🦞 Maine – Remote 🌶️ New Mexico – Remote 🌲 North Carolina – Remote 🌪️ Oklahoma – Remote 🚗 Michigan – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote

⏰ Tempo Integral

🟢 Júnior

🟡 Pleno

🔧 Engenheiro de QA (Qualidade de Software)

🚫👨‍🎓 Sem graduação necessária

🦅 Patrocina Visto H1B

Esta empresa já patrocinou vistos H1B no passado.

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Knowtion Health

SiteLinkedInTodas as Vagas

501 - 1000 funcionários

Fundada em 2008

⚕️ Seguro de Saúde

💳 Fintech

☁️ SaaS

💰 Private Equity Round em 2020-09

Healthcare Insurance • Fintech • SaaS

A Knowtion Health é uma empresa que auxilia hospitais na gestão de reivindicações negadas e complexas, recuperação de contas de baixo saldo, e defesa contra auditorias de pagadores. Ao utilizar tecnologia avançada e uma equipe de especialistas, a Knowtion Health visa maximizar a receita e melhorar a experiência dos pacientes. Seus serviços incluem o tratamento de negações clínicas e a gestão de várias classes desafiadoras de pagadores, posicionando-se como um forte defensor para seus clientes no setor de saúde.

Descrição

• review calls, correspondence, and database entries to ensure that each team member's performance meets Knowtion Health quality standards • recommend additional training to Service Delivery when performance review indicates it is needed • conduct routine and targeted quality audits on RCM tasks such as claim submission, denial management, account resolution, and payment posting • perform root cause analysis on errors and recurring issues to help reduce rework and improve productivity • prepare professional review documents analyzing each team member's verbal, written and database proficiency • demonstrate expertise with Artiva QA review encounters and KTech IQC applications as necessary to review accounts thoroughly • identify and communicate patterns and trends in team member work to recommend additional training to help the team members meet or exceed quality standards established by Knowtion Health • provide 1:1 training opportunity to impart knowledge & experience, evaluate skills, guide, mentor, direct, and train internal employees to become confident and proficient in their roles and help them achieve LOB specific certification • administer current training material and courses

🎯 Requisitos

• 2 years experience working for Knowtion Health or RCM • Strong understanding of the full RCM back-end workflow (authorizations, coding, billing, denials, and AR follow-up) • Extensive experience with claims resolution and implementation of client Standard Operating Procedures (SOPs)

🏖️ Benefícios

• medical • dental • vision • life insurance • short term disability • long term disability • paid holidays • 401k • generous PTO policy