Quality Analyst - RCM

Job description

About Neolytix:

Neolytix is a boutique Consulting and Management Services Organization that works with small & medium-sized healthcare providers across the United States. Our portfolio of services caters to micro verticals and is built on the expertise we have developed in enabling these practices.

Work with a company where your work can make a real impact!

• We are a boutique company respected for providing no-nonsense advice on key issues that impact them.
• 4.7 stars on Google and 4.2 stars on Glassdoor with 80% of approval rating!

Overview:

We are seeking a dynamic and experienced individual to join our team as a Quality Analyst in the Revenue Cycle Management (RCM) department. The successful candidate will play a crucial role in ensuring the accuracy and efficiency of our medical billing processes.

Requirements:

- Proficient in English communication, both verbal and written.

- Typing speed of 30-35 words per minute.

- Graduation with a strong foundation in Statistical Knowledge.

- 3+ years of hands-on experience as a Payment Poster, Charge Poster, or AR Caller in US healthcare sector.

- In-depth knowledge of HIPAA regulations, CPT codes, and Denials Management.

- Proven experience in monitoring agent calls and providing constructive feedback.

- Ability to identify and propose training needs based on performance assessments.

Responsibilities:

- Demonstrate a comprehensive understanding of Revenue Cycle Management in the context of US Medical Billing for Providers and Hospitals.

- Utilize experience as a Billing Executive to contribute to the efficiency of billing processes.

- Resolve billing queries and issues promptly to prevent delays in payment.

- Ensure timely and accurate delivery of projects within the RCM department.

- Exhibit excellent time management and self-governing skills to meet project deadlines.

- Provide consistent and constructive feedback aimed at enhancing the overall quality of work.

- Collaborate in auditing transactions across different domains, including Charge Entry, Payment Entry, and Denial Handling.

- Offer valuable inputs on client-related issues and suggest improvements to processes or client profile instructions.

Job Types: Full-time, Permanent

Benefits:

• Health insurance
• Paid sick time
• Paid time off
• Work from home

Schedule:

• Monday to Friday
• Night shift

Experience:

• Medical billing/RCM: 3 years (Required)
• Quality Analyst: 1 year (Preferred)

Work Location: Remote/Hybrid