Contract Quality Analyst

Rotech Healthcare Inc.•Orlando, FL

About The Position

We are seeking a dedicated Contract Quality Analyst to join our team. In this position, you are responsible for the accuracy of the payer agreement data input into the processing systems used by Rotech Healthcare. The position is responsible for identifying quality assurance standards, processes and tools used to maintain the data integrity of Rotech’s systems. The Quality Analyst is responsible for identifying user errors and coaching the user on the correction. The Quality Analyst will work with the CAD Trainer on any identified updates needed to training manuals, process guides and job aids used by the Contract Administration Department.

Requirements

High school diploma or GED equivalent, required
Effectively communicate in English; both oral and written
Interpret a variety of communications (verbal, non-verbal, written, listening and visual)
Knowledge of Industry Contracts and medical billing
Maintain confidentiality, discretion and caution when handling sensitive information
Multi-task along with attention to detail
Self-motivation, organized, time-management and deductive problem solving skills
Work independently and as part of a team
Email transmission and communication
Internet navigation and research
Microsoft applications; Outlook, Word and Excel
Office equipment; fax machine, copier, printer, phone and computer and/or tablet
Lift and carry office equipment at times
Regularly review documents with small print
Requires close vision to small print on computer and/or tablet and paperwork
Requires sitting, walking, standing, talking and listening
Utilize computer for long periods of time
Walk, sit, talk, and listen for extended periods of time

Nice To Haves

Associates degree or equivalent combination of college education and/or related work experience in healthcare, billing, and/or industry contracts, preferred
Paralegal Certificate, preferred
Three years of related work experience, preferred
Innovative Medical Billing System (IMBS), HRCM, eIntake and Skylark, preferred

Responsibilities

Communicates identified inconsistencies and works with the Contract Lead and CAD Management to standardize the CAD quality review process
Documents QA findings and quantifies a quality percentage
Maintains detailed knowledge of CAD system(s) functions, HCPCS and Rotech’s core product lines
Maintains general knowledge of payers and insurance product types
Meets a production and quality standard
Performs 100% quality analysis of all payer plan loads and updates, HCPC addition/update requests, changes to fee schedules and rate tables and payer rule changes
Provides one on one QA results and re-education on areas that result in a failure per the appropriate QA Checklist tool
Solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists
Work on complex projects independently to completion under significant deadline restraints
Work with internal and external customers to develop contract strategies for contract implementation
Performs other duties as assigned

Benefits

Generous paid time off and paid holidays
Overtime pay for non-exempt positions (as applicable)
Commission for Account Executives
Bonus and incentive opportunities
Fixed and variable car reimbursement for Area Managers and Account Executives
Car, mileage, and telephone reimbursement (as applicable)
Employee discount and recognition programs
Employee Assistance Program (EAP)
401(k), HSA, and FSA/Dependent Care FSA
Medical, prescription, dental, and vision coverage
Life insurance, disability, accidental death, identity protection, and legal services
Meru Health mental health and Mercer SmartConnect Medicare programs
Livongo Diabetes and High Blood Pressure programs
Healthcare Bluebook and RX Savings Solutions programs
Hepatitis B (HEPB) and TB vaccinations