The Quality Specialist, RCM will participate in the execution of auditing and review activities focused on Revenue Cycle Functions. The auditing and review activity performed by the Quality Assurance Specialist is aimed at ensuring Greenway Revenue Services' business operations adhere to required corporate policy, process, and procedure, adhere to all applicable state and federal regulatory requirements as well as provide value and quality to customers.
Essential Duties & Responsibilities
Complete quality audits and reviews to ensure RCM services rendered are compliant, of the highest quality, and provide value to our clients.
Document data obtained during all quality activities consistent with company policies and procedures for educational feedback
Consciously create a workplace culture that is consistent with the overall organization’s and that emphasizes the mission, vision, guiding principles, and values of the organization
Communicate significant issues or developments identified during quality activities and provide recommended process improvements to the Manager as well as creates QA reports.
Utilize methods, procedures, and metrics needed to ensure that quality standards and practices are attained.
Assist in the ongoing evaluation of procedures and training methods to promote continual improvement of your team and the unit as directed by the Director.
Participate in projects as assigned
Review performance data that includes activity reports and spreadsheets to monitor and measure departmental productivity, goal achievement, and overall effectiveness with payment posting, insurance follow-up, charge posting, and as well as other activities associated with revenue cycle management services provided.
Communicate/answer questions regarding client data and market billing compliance issues.
Stay current with changing AR trends and alert specific RCM teams when issues arise
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Resume Exposure
4 - 10 Years
5 Openings
3.0-6.0 Lac/Yr
Face-to-Face interview