Revenue Cycle Multi-Specialty Quality Assurance Specialist

Job Description

Job Description

Salary : $55-$65k

About Jorie :

Jorie AI, occupies a uniquely interconnected position at the center of the healthcare industry. An inseparable part of today's healthcare billing ecosystem, with leading edge technology that is driving transformation with AI infused Robotic Process Automation for end-to-end Revenue Cycle Management, providing practice and financial management services to the healthcare industry. Applied Intelligence, Better Insight, Accelerated Efficiencies with Jorie AI.

Our work environment :

Remote opportunities

Growth advancement opportunities

Flexible work environment (Work-life Balance)

Collaborative and friendly company culture

Great Benefits :

401(k) matching up to 4%

Medical

Dental

Vision

Long / Short Term Disability insurance

Life insurance $25,000 Paid by employer

PTO 2 weeks

10 and half Holidays

The Revenue Cycle Multi-Specialty Quality Assurance Specialist is responsible for evaluation and ensuring accuracy, and efficiency of end-to-end revenue cycle processes, various medical specialists. This role plays a pivotal role in maintaining quality standards related to eligibility verification / authorizations, charges, basic / minimal coding, billing, collections / reimbursement, payment posting, and patient billing. The QA Specialist works closely with the QA manager to identify areas of improvement, root cause analysis, provide recommendations and assist with streamlining of processes.

Key Responsibilities

• Conducts routine audits of end-to-end process assignments to ensure proper SOP / guidelines are met.
• Evaluates eligibility verification and pre authorization processes.
• Evaluates basic coding, charge entry, billing, and claims process, in addition to denied claims to ensure accuracy.
• Identify trends, root causes and system issues related to denials, no response, or underpayments.
• Collaborate with management to develop and implement process improvement plans.
• Maintain QA reports and complete timely weekly / monthly submissions.

Qualifications

Required

Preferred

Must be legally authorized to work in the USA. No Contractors, No C2C, No Visa Sponsorship

No recruiting agencies.

Location & Hours : Remote in USA Only

Mon-Fri 8 : 00 AM to 5 : 00 PMCST

Flexible working hours may be required based on business