Qureos

FIND_THE_RIGHTJOB.

Quality Analyst

Quality Analyst

  • 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.
Experience: 5+ Years
Individual Contributor

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