Medical billing
2 weeks ago
Full-time
Description
The Charge Posting - Quality Analyst is responsible for monitoring compliance with billing rules/regulations by conducting reviews/audits of completed work files, educating professionals about workflow, process, documentation, and best practices; and recommending appropriate corrective actions surrounding revenue cycle services. Ensuring quality and integrity in the revenue cycle is key in this role.
Job Description:
- Review and reporting on process updates and team metrics with the reporting manager
- Provide mentorship, coaching and training to the team members.
- Maintain compliance in process with HIPAA and adhere to company policies
- Daily Auditing Team Production
- Conducting audit feedback meetings every fortnight
- Providing team assistance on need basis
- Providing monthly quality reports to team
- Updating Quality Dashboard daily
- Auditing of Payment Tracking, Documenting Outstanding Payment, Mailing regular reports and Analysis, Payment Reconciliation, Payment Refunds and Provider Data Updates.
- Reducing the 90+ aged inventory by getting payments from Insurance.
Requirements
- Candidate must have minimum 5 years of experience in Claims process and minimum 1 year of experience in audit (on paper).
- Familiarity with working loops and segments
- Familiarity with the most common payer rejections
- Regular use of clearinghouses
- Experience submitting paper and electronic claims preferred
- Knowledge of commonly used insurance billing concepts
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