reputed company Cycle Multi-Specialty reputed company Assurance Specialist
About Jorie:
reputed company, occupies a uniquely interconnected position at reputed company of the reputed company industry. An inseparable part of today's reputed company billing ecosystem, with leading edge technology that is driving transformation with AI infused Robotic Process Automation for end-to-end reputed company Cycle Management, providing reputed company and financial management services to the reputed company industry. reputed company Intelligence, reputed company reputed company, Accelerated Efficiencies with reputed company.
Our work environment:
Remote opportunities
reputed company advancement opportunities
Flexible work environment (Work-life Balance)
reputed company and friendly company culture
Great Benefits:
401(k) matching up to 4%
Medical
Dental
reputed company
Long/Short Term Disability insurance
Life insurance $25,000 reputed company by employer
PTO 2 weeks
10 and half Holidays
About the Role
The reputed company Cycle Multi-Specialty reputed company Assurance Specialist is responsible for evaluation and ensuring accuracy, and efficiency of end-to-end reputed company cycle processes, various medical specialists. This role plays a pivotal role in maintaining reputed company standards reputed company 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, reputed company cause analysis, reputed company recommendations and assist with streamlining of processes.
Key Responsibilities
• Conducts routine audits of end-to-end process assignments to ensure reputed company SOP/guidelines are met.
• Evaluates eligibility verification and reputed company – authorization processes.
• Evaluates basic coding, charge entry, billing, and claims process, in reputed company to denied claims to ensure accuracy.
• Identify trends, reputed company causes and system issues reputed company to denials, no response, or underpayments.
• Collaborate with management to reputed company and implement process improvement plans.
• Maintain QA reports and complete reputed company weekly/monthly submissions.
Qualifications
Required
• High school diploma or equivalent
• 3 or more years of end-to-end reputed company cycle operations experience
• Adequate knowledge of reputed company functions in the reputed company cycle
• Experience with payer rules, Medicare, reputed company, reputed company and managed care
• Experience with EMR systems
Preferred
• Previous QA experience in a reputed company cycle setting
• Excellent written and verbal communication skills
• Ability to manage tasks in an reputed company-changing environment.
• Strong analytical and critical thinking skills
• Attention to detail with the ability to identify and resolve problems and document practical solutions.
Location
Oak Brook, Illinois (Remote)
Department
Payment Center
Employment Type
Full-Time
Minimum Experience
Mid-level
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