Quality Analyst - Medical Billing (RCM)
Job Description
Key Skills
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Designation/ Role: Quality Analyst
Department: Medical Billing
Work Timing: Night Shift
Work set up: Onsite, Pasig Ortigas
Salary: 47K
Target start date: July 8, 2024
Qualifications: Any Graduate Preferred
Skills:
A successful candidate must have proficient knowledge/capabilities in the following areas:
1. Ability to perform at a high level of productivity and quality.
2. Capacity to maintain a high level of accuracy.
3. Excellent written and oral communication skills required to represent Infinx Clients.
4. Computer skills including Microsoft Office Suite.
5. Skills to work independently and be resourceful with the ability to multitask.
Requirements:
2-3+ years’ experience in calling process.
With RCM experience
Can start immediately
Job Responsibilities:
1. Random Transactional Monitoring – Ensuring systematic Quality check of previous day’s production i.e. Analysis of account, Calling analysis, correct follow up, required action taken and updated software, updated productivity report.
2. Identifying errors critical to process such as wrong analysis results to incorrect follow up, Incorrect or incomplete information captured on call, Incorrect or incomplete action taken, incomplete production report.
3. Ensure the team must be aware of criticality of Fatal and non-fatal parameters/errors.
4. Ensuring the error must be communicated to associate and process owners. Associate provided constructive feedback about the error committed and corrected.
5. Ensuring that Corrective Action Policy is adhered to and Improvements seen on individuals being audited.
6. Ensure that every week team will be briefed about the major errors committed towards process. Team must be coached about the correct follow ups related to those errors.
7. Weekly/Monthly Quality performance report to be mailed to internal client on time. Reports generated must be error free.
8. Maintaining the Quality Metrics i.e. Process quality score, Individual quality score, number of errors, Corrective Action policy, Categorization of associates, documentation of Fatal errors, Improvement plans, Process Knowledge Test etc.
9. Responsible for random transaction audits and performance of new hires during OJT/Nesting period.
Role
Any Other
Timings
Rotational Shifts (Permanent)
Industry
Medical / Healthcare / Hospital
Work Mode
Work from office
Functional Area
Any Other
Note: Myglit doesn't charge any money from candidates. If you have been asked to pay money to get this job then report to us immediately at support@myglit.com.
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