Our client is seeking a Revenue Cycle QA to support their department. This is a contract to hire role, offering $24-$26 hourly, and is on a 5 day in office work schedule.
Role: Revenue Cycle QA
Location: Plano, TX 75024
Pay Rate Range: $ 24 – $ 26 / hour
Job Duties:
- Prior Month Review Process
- Each Department has different protocols; QA Reviewer required to understand the standards of each department for effective scoring
- Team Leader is required to review the QA Audits prior to distribution of their teams
- Provide team members opportunity to refute scoring
- Completes quality audits to ensure CBO employees are providing the highest quality of work
- Proactive communication with the CBO Manager/Director on practice data, issues that are meaningful to our company needs.
- Ensure claims are adjudicated in compliance with provider contract parameters, member demographic information, and service level requirements through random and targeted claim reviews
- Compile data, perform audit, interpret and report back results to management team
- Conducts Audit-the-Auditor claim audits for procedural and financial accuracy
- Provide monthly/quarterly/yearly feedback used for client report cards and company Key Performance Indicators
- Participate in documenting and prioritizing potential solutions to issues & fallout for system issues
- Establish and implement interim workaround solutions as needed and communicates to all impacted users
- Assist in establishing, updating, communicating new and existing policy and procedures
- Accountable for analyzing and measuring results of implemented policies, changes and system modifications
- Ability to meet assigned deadline and work under minimal supervision and with all levels of staff and management
- Compile data, perform audit, interpret and report back results to management team
- Conducts Audit-the-Auditor claim audits for procedural and financial accuracy
Qualifications:
- 2+ years in hospital collections and billing
- Full revenue cycle experience
- Experience training or leading a team
- Experience in Excel and analytics
- LTACH and Outpatient background preferred
Why choose Addison Group?
- Pay: We negotiate high salaries using the US Bureau of Labor Statistics.
- Benefits & Bonuses: You are eligible for medical, dental, vision insurance benefits, and 401k.
- Permanent Employment: Many of Addison’s job openings lead to potential permanent employment.
- Connections: You connect directly with hiring managers.
- Options: You are presented multiple employment options near your home.
- Professional Development: You are provided hiring process advice, resume revision, and employment term negotiation
- Equipment Provided
Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.