JOB TITLE: Revenue Cycle QA Analyst JOB LOCATION: NY State, Remote WAGE RANGE*: $34-$36
JOB NUMBER: 26-01517
REQUIRED EXPERIENCE: Analytical skills, including the ability to analyze quantitative and qualitative information and reach sound conclusions.
Knowledge of medical billing, revenue cycle cash flow & electronic data interchange (EDI) transactions
Ability to perform A/R statistical analysis, identify gaps, develop, and deploy solutions necessary for achievement of reconciliation objectives
Detailed and process-improvement oriented.
Ability to read and understand technical specifications.
Outstanding PC spreadsheet skills required.
Ability to work independently and with a team.
Bachelor's degree preferred or equivalent and relevant professional experience in finance/corporate finance and/or QA work.
3+ years' experience in finance/corporate finance, project management experience preferred.
JOB DESCRIPTION: - Planning and executing quality assurance for complex and large-scale financial management
service (FMS) portfolio - Work with multiple financial and claiming systems to analyze claiming operations and reconcile reported data.
- Prepares and administers accurate monthly program reconciliation reports for senior & executive management review.
- Communicate quantitative and qualitative findings from analysis to the business team.
- Maintain departmental scorecard and reporting documents that are essential to monitoring
identified areas of claiming performance need. - Work closely with internal business partners in order to achieve organizational financial
reconciliation objectives. - Perform ad-hoc QA reviews of ongoing claiming operations to ensure compliance with revenue cycle best practices.
- Consults with management on better operational procedures to improve overall claiming efficiency and quality reimbursement yields
- Reviews and addresses QA related issues reported by team members and management.
Equal opportunity employer as to all protected groups, including protected veterans and individuals with disabilities * While an hourly range is posted for this position, an eventual hourly rate is determined by a comprehensive salary analysis which considers multiple factors including but not limited to: job-related knowledge, skills and qualifications, education and experience as compared to others in the organization doing substantially similar work, if applicable, and market and business considerations. Benefits offered include medical, dental and vision benefits; dependent care flexible spending account; 401(k) plan; voluntary life/short term disability/whole life/term life/accident and critical illness coverage; employee assistance program; sick leave in accordance with regulation. Benefits may be subject to generally applicable eligibility, waiting period, contribution, and other requirements and conditions. Benefits offered are in accordance with applicable federal, state, and local laws and subject to change at TCM's discretion. #Dice
