Quality and Performance Coordinator

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $23 - $28 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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LifeStance Health

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

💼 Consulting

🛡️ Insurance

🏥 Healthcare

💰 Private Equity Round on 2016-12

Consulting • Insurance • Healthcare

LifeStance Health is a provider of comprehensive mental health services, offering care through in-person and telehealth appointments for various mental health conditions such as anxiety, depression, ADHD, and more. With a large network of licensed clinicians, including psychiatrists, psychologists, and therapists, LifeStance Health tailors care plans to fit individual needs. The company accepts a wide range of insurance plans, making mental health care accessible to a broad audience. Services include therapy, psychiatric evaluations, medication management, and psychological testing across numerous states.

📋 Description

• Conduct structured quality assurance audits across RCM functions including benefit verification, charge capture, payment posting, denial handling, and AR follow-up • Evaluate work for accuracy, completeness, compliance, and adherence to standard operating procedures • Document audit findings, error types, and trends using standardized scoring tools • Identify recurring issues, process breakdowns, and training gaps • Escalate high-risk findings or systemic issues to leadership • Track individual and team performance metrics including productivity, accuracy, denial trends, and rework rates • Analyze audit data to identify patterns, outliers, and improvement opportunities • Support development of scorecards and performance dashboards • Provide actionable insights to operational leaders to improve first-pass resolution and reduce rework • Support root cause analysis for quality failures, claim errors, and payer denials • Recommend corrective actions, process changes, or training interventions • Monitor improvement initiatives and report outcomes • Assist in developing and updating quality standards and audit methodologies • Support targeted retraining efforts based on audit findings • Serve as a subject matter resource on quality standards and best practices • Maintain accurate records of audits, findings, and corrective actions • Prepare regular reports summarizing quality trends and performance insights • Ensure audit data is captured in centralized systems for leadership review • Assist in preparing materials for operational reviews and performance meetings • Ensure adherence to payer rules, billing regulations, and internal policies • Identify potential compliance risks and escalate appropriately • Support internal and external audit readiness activities • Promote standardized processes across RCM operations

🎯 Requirements

• 2–4 years of experience in healthcare Revenue Cycle Management • Experience in one or more RCM areas such as AR, billing, denials, payment posting, or eligibility/benefits • Prior quality assurance, auditing, or training experience preferred • Behavioral Health RCM experience a plus • Strong understanding of payer rules, claims processes, and denial management • Ability to interpret performance data • High attention to detail and accuracy • Strong written and verbal communication skills • Ability to provide constructive feedback in a professional manner • Proficiency with RCM systems and reporting tools such as AdvancedMD, AthenaHealth, and Waystar • Excel skills preferred • Critical thinking and problem solving • Objectivity and sound judgment • Organization and time management • Collaboration and teamwork • Continuous improvement mindset • Ability to manage confidential information

🏖️ Benefits

• Medical, dental, vision, AD&D, short- and long-term disability, and life insurance • 401k retirement savings with employer match • Paid parental leave • Paid time off • Holiday pay • Employee Assistance Program • Potential bonus