Specialist I, QA and Learning

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🕒 May 27

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Knowtion Health

501 - 1000 employees

Founded 2008

⚕️ Healthcare Insurance

💳 Fintech

☁️ SaaS

💰 Private Equity Round on 2020-09

Healthcare Insurance • Fintech • SaaS

Knowtion Health is a company that assists hospitals in handling denied and complex claims, recovering low balance accounts, and providing defense against payer audits. By leveraging advanced technology and a team of experts, Knowtion Health aims to maximize revenue and improve patient experiences. Their services include addressing clinical denials and managing various challenging payer classes, positioning them as a strong advocate for their clients in the healthcare sector.

📋 Description

• 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

🎯 Requirements

• 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)

🏖️ Benefits

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

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