Quality Analyst

🕒 March 17

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TruBridge

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

⚕️ Healthcare Insurance

☁️ SaaS

💸 Finance

Healthcare Insurance • SaaS • Finance

TruBridge is a healthcare solutions company specializing in revenue cycle management, electronic health records, patient access and engagement, and enterprise resource planning for healthcare providers. The company offers comprehensive, customizable services to hospitals, clinics, and ambulatory care facilities, aiming to improve financial health and operational efficiency. TruBridge's solutions include coding technology services, population health and data management, and outsourced revenue cycle management services. Their focus on data-driven insights and innovative products helps eliminate financial and operational obstacles, laying a foundation for long-term success in the healthcare industry.

📋 Description

• Review teams’ production for errors and inaccuracies. • Document and publish quality scores. • Council and mentor team members to improve their quality scores. • Create cheat sheets and reference guides to assist teams in improving quality. • Be able to move seamlessly into the AR Analyst role temporarily if the need arises. • Identify and report common trends in teams’ production, denials and any global issues. • Maintain production and quality standards declared by the organization.

🎯 Requirements

• 5+ Years of experience in US Healthcare RCM in posting transactions and AR Follow-up. • Should have a thorough understanding of Provider claim life cycle. • Must have thorough knowledge of major insurance payers. • Must have thorough knowledge of common denials. • Must know standard practices of RCM. • Must have understanding of common acronyms and nomenclature in US Healthcare. • Should have excellent written and communication skills in English. Good grammar is a must. • Must have fair knowledge of common CPT codes, transaction codes and reason codes.

🏖️ Benefits

• No explicit benefits mentioned