Billing Quality Assurance Analyst

Reliable Respiratory•Boston, MA

45d•Onsite

About The Position

Reliable Respiratory is a Durable Medical Equipment (DME) company that provides the highest quality service for patients needing respiratory, diabetes, urology, and maternity support. Equipment provided includes CPAPs, BiPAPs, AutoPAPs, nebulizers, oxygen equipment, ventilators, CGM devices, insulin pumps, and breast pumps. Each patient is treated with professionalism, understanding, and attentive service. We care about our customers, work closely with the medical community, and have highly skilled staff ready to assist customers in receiving the best care possible. The Billing Quality Assurance Analyst is responsible for supporting the Billing Department and ensures products and services meet established standards by conducting tests, analysis and quality control of all billing duties performed.

Requirements

18 years of age or older
Must be eligible to work in the United States and not require work authorization from us now or in the future
Experience with completing quality control functions associated with billing
Effective and professional verbal and written communication abilities
Professional computer experience (especially Microsoft Office Suite)
Ability to work in the Norwood office, as needed
Ability to work independently to investigate and make decisions
Ability to prioritize and complete work amidst interruptions in a busy work area
Ability to comply with guidelines both internal and industry-imposed
Ability to reconcile multiple shifting logistical factors for each appointment
Strong attention to detail

Nice To Haves

Bachelor’s Degree preferred
Bilingual in English and Spanish preferred

Responsibilities

Responsible for conducting detailed audits of customer calls, payments, denials, and billing systems to ensure accuracy and adherence to SOPs
Reviews patient records, billing codes and payment data to identify coding or submissions errors
Identifies patterns and recurring errors from audit results to pinpoint areas for improvement
Develops and implements audit plans and quality criteria to evaluate processes and procedures
Prepare detailed reports on quality metrics and performance trends
Ensures all billing practices adhere to relevant healthcare regulations (HIPAA) and industry best practices
Stays updated on coding guidelines, payer requirements and regulatory changes to ensure compliance
Recommends and drives modifications to operating practices and policies to eliminate quality gaps and improve efficiency
Monitors team productivity and operational efficiency targets to ensure KPI’s are met
Complete ad-hoc project work as directed by your manager
Assist in facilitating workload distribution relevant to specific department needs
Other tasks and duties as require