Quality Assurance Analyst
About The Position
We have an exciting opportunity to join our team as a Quality Assurance Analyst. In this role, the successful candidate reporting to the Quality Assurance Manager, the Quality Assurance Analyst is responsible for coordinating quality assurance procedures, auditing and monitoring user performance, and proposing preventive measures to correct and improve business processes in order to meet established Hospital Billing (HB) quality standards. The ideal candidate demonstrates strong oral and written communication skills, a comprehensive understanding of hospital billing revenue cycle workflows, strong attention to detail, and initiative in identifying issues, opportunities, and solutions.
Requirements
- Bachelor's degree required
- 1-3 years of experience in a hospital billing or healthcare revenue cycle environment preferred
- Prior experience in healthcare finance, operations, medical reimbursement, and managed care contracts
- Working knowledge of hospital billing revenue cycle processes
- Experience using Tableau
- Qualified candidates must be able to effectively communicate with all levels of the organization.
Responsibilities
- Review and understand workflows and standard operating procedures related to Hospital Billing revenue cycle functions, including (but not limited to) authorizations, coding, correspondence, claims, accounts receivable, and credits.
- Utilize HB Pathways and documentation as a guide for determining appropriate actions to resolve unpaid or incorrectly paid claims as part of workflow quality reviews.
- Perform audits of work completed in accordance with established standard operating procedures.
- Demonstrate the ability to independently perform operating procedures in areas subject to audit.
- Compare benchmark results to NYU Hospital Billing standards for both internal and offshore teams.
- Track, analyze, and report employee performance against established quality and productivity standards.
- Adhere to departmental compliance policies and patient confidentiality requirements.
- Participate actively in team meetings, calibration sessions, and workflow development initiatives.
- Ensure employee activities align with departmental protocols and comply with Federal, State, and payer regulations and guidelines.
- Assist with special projects as assigned.
- Perform other duties as required.
- Requires up to 20% travel, including domestic offices and periodic international vendor site
Benefits
- financial security benefits
- a generous time-off program
- employee resources groups for peer support
- holistic employee wellness program
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
