RCM Quality Specialist

The RCM Quality Specialist is responsible for performing quality assurance audits to ensure proper reimbursement, as well as preparing reports and reviewing trends.

Job Responsibilities:

• Create, organize, and document department policies and processes for various needs within the RCM Department to facilitate operational excellence.
• Audit current procedures to monitor and improve efficiency of billing and collections operations.
• Generate financial data reports and communicate with the Finance department for processing of client management fees.
• Create monthly report cards and year over year comparisons for each client to communicate financial health of the practice.
• Coordinate the provision of training for new and existing billing staff on applicable operating policies, protocols, systems and procedures, standards, and techniques.
• Facilitate logistics and execution of new client onboarding to increase impact and retention.
• Research upcoming trends in the healthcare market and develop proactive plans for minimizing impacts on clients.
• Maintain library of information and tools related to documentation guidelines and coding.
• Position will work closely with RCM Leadership on projects as they arise.
• Monitor, identify and report trends based on data reviews.
• Work on special projects as assigned.

Job Requirements:

• High level attention to detail.
• Ability to multitask and use critical thinking skills.
• Proficient in Excel.
• Works cooperatively with other managers and administration.
• Demonstrates accountability, integrity, professionalism, openness, receptive to change.

Job Type: Full-time.

Benefits:

• 401(k).
• 401(k) matching.
• Dental insurance.
• Flexible schedule.
• Flexible spending account.
• Health insurance.
• Life insurance.
• Paid time off.
• Professional development assistance.
• Retirement plan.
• Vision insurance.

Schedule:

• 8 hour shift.
• Day shift.
• Monday to Friday.

Supplemental Pay:

• Bonus opportunities.

Experience:

• Management reporting: 5 years (Required).
• Microsoft Excel: 5 years (Required).
• Financial report interpretation: 5 years (Required).
• Medical billing: 5 years (Required).
• Medical software: Epic, Nextgen, MDI, Caretracker.

Work Location: In person.