Jorieai

Compensation

Full Description

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Revenue Cycle Multi-Specialty Quality Assurance Specialist is responsible for evaluation and ensuring accuracy and efficiency of end-to-end revenue cycle processes for various medical specialists. This role plays a pivotal role in maintaining quality standards related to: • Eligibility verification/authorizations • Charges • Basic/minimal coding • Billing • Collections/reimbursement • Payment posting • Patient billing The QA Specialist works closely with the QA manager to identify areas of improvement, conduct root cause analysis, provide recommendations, and assist with streamlining of processes. • Conducts routine audits of end-to-end process assignments to ensure proper SOP/guidelines are met. • Evaluates eligibility verification and pre-authorization processes. • Evaluates basic coding, charge entry, billing, and claims process, in addition to denied claims to ensure accuracy. • Identifies trends, root causes, and system issues related to denials, no response, or underpayments. • Collaborates with management to develop and implement process improvement plans. • Maintains QA reports and completes timely weekly/monthly submissions. Qualifications • High school diploma or equivalent • 3 or more years of end-to-end revenue cycle operations experience • Adequate knowledge of all functions in the revenue cycle • Experience with payer rules, Medicare, Medicaid, commercial and managed care • Experience with EMR systems Requirements • Previous QA experience in a revenue cycle setting (preferred) • Excellent written and verbal communication skills • Ability to manage tasks in an ever-changing environment • Strong analytical and critical thinking skills • Attention to detail with the ability to identify and resolve problems and document practical solutions • Must be legally authorized to work in the USA. No Contractors, No C2C, No Visa Sponsorship • No recruiting agencies Benefits • 401(k) matching up to 4% • Medical • Dental • Vision • Long/Short Term Disability insurance • Life insurance $25,000 Paid by employer • PTO 2 weeks • 10 and a half Holidays Company Description Jorie AI occupies a uniquely interconnected position at the center of the healthcare industry, providing practice and financial management services with leading-edge technology that is driving transformation with AI-infused Robotic Process Automation for end-to-end Revenue Cycle Management. • Remote opportunities • Growth advancement opportunities • Flexible work environment (Work-life Balance) • Collaborative and friendly company culture