Quality Assurance Specialist jobs in the United States

JOB SUMMARY

MD Billing Specialists, LLC is growing and we’re looking to add to our team! This position supports timely, accurate claims submission and may perform registration and/or other revenue cycle functions. Other duties include providing general operations assistance and/or patient service tasks specific to the scope of the department. The ideal candidate is a team player with a passion for revenue cycle.

RESPONSIBILITIES & DUTIES

Contributes to a positive work environment and to a dynamic team focused on work unit that actively helps one another to achieve optimal department results.

Collaborates with all members of the health care team by actively communicating and reporting pertinent patient care information and data in a comprehensive manner.

· Hands-on knowledge of Microsoft Office Suite (Outlook, Teams, and SharePoint)

· Process and/or supervise coding and modifiers for all charge/claims

· Review claims performance (turnover, denials, etc.) for company/customer

metrics/goals.

· Collaborate with cross functional teams to ensure data quality and consistency

· Coordinate and communicate with customers

QUALIFICATIONS & SKILLS

· 5 years of medical billing and coding related experience. This includes facility/hospital billing and specialty billing. (SNF, Cardiovascular, LTACH, etc.)

· 2 years supervisory or team lead experience

· Excellent verbal and written communication skills

Knowledge of payer reimbursement methodologies

Proficient and comfortable working with large sets of data

Knowledge of industry regulations related to contracting, negotiation techniques including knowledge of TDI and HHSC rules and regulations as they apply to the STAR & CHIP programs.

Knowledge of commercial and government payers.

· Possess knowledge of billing software(s) for example eClinical Works, Waystar, etc.

· Ability to communicate and work effectively in a team environment

EDUCATION

· Associates Degree minimum required

In lieu of degree, an additional four (4) years of related work experience is required

· Medical Billing Certificate a bonus

· CPC, CCA, or CCS certification Required!!!

LOCATION: Remote; If in Lubbock, position will be on-site with the possibility of hybrid

Education:

· Associate (Preferred)

Experience:

· Medical billing: 4 years (Preferred)

· Related work: 4 years (Preferred)

License/Certification:

· Medical Billing Certification (Preferred)

· CPC,CCA or CCS A must! (Preferred)

· ICD-10: 3 years (Preferred)

Job Type: Full-time

Pay: $55,000.00 - $60,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Experience level:

• 5 years

Schedule:

• 8 hour shift
• Monday to Friday

Work setting:

• In-person
• Office

Work Location: In person