RCM Quality Specialist

The RCM Quality Specialist is responsible for performing quality assurance audits to ensure proper reimbursement, as well as preparing reports and reviewing trends.

Job Responsibilities :

• Create, organize, and document department policies and processes for various needs within the RCM Department to facilitate operational excellence.
• Audit current procedures to monitor and improve efficiency of billing and collections operations.
• Generate financial data reports and communicate with the Finance department for processing of client management fees.
• Create monthly report cards and year over year comparisons for each client to communicate financial health of the practice.
• Coordinate the provision of training for new and existing billing staff on applicable operating policies, protocols, systems and procedures, standards, and techniques.
• Facilitate logistics and execution of new client onboarding to increase impact and retention.
• Research upcoming trends in the healthcare market and develop proactive plans for minimizing impacts on clients.
• Maintain library of information and tools related to documentation guidelines and coding.
• Position will work closely with RCM Leadership on projects as they arise.
• Monitor, identify and report trends based on data reviews.
• Work on special projects as assigned.

Job Requirements :

High level attention to detail.

Ability to multitask and use critical thinking skills.

Proficient in Excel.

Works cooperatively with other managers and administration.

Demonstrates accountability, integrity, professionalism, openness, receptive to change.

Job Type : Full-time.

Benefits :

401(k).

401(k) matching.

Dental insurance.

Flexible schedule.

Flexible spending account.

Health insurance.

Life insurance.

Paid time off.

Professional development assistance.

Retirement plan.

Vision insurance.

Schedule :

8 hour shift.

Day shift.

Monday to Friday.

Supplemental Pay :

Bonus opportunities.

Experience :

Management reporting : 5 years (Required).

Microsoft Excel : 5 years (Required).

Financial report interpretation : 5 years (Required).

Medical billing : 5 years (Required).

Medical software : Epic, Nextgen, MDI, Caretracker.

Work Location : In person.