Quality Control Coordinator
Professional Physical Therapy•Melville, NY
•Hybrid
About The Position
The Quality Control Coordinator (QCC) performs quality review audits for offshore vendors as well as applicable onshore staff. The QCC will ensure all staff are meeting expectations and following all QA guidelines as outlined in the service level agreements, contract and PPT quality standards.
Requirements
- At least 1 year of Revenue Cycle experience required
- Proven ability to meet or exceed productivity goals consistently
- Strong knowledge of revenue cycle operations, including the ability to identify trends and resolve issues
- Proficiency in Raintree and Microsoft Office applications
- Excellent analytical and problem-solving skills
- Strong organizational and time management skills with the ability to manage multiple priorities
- Excellent written and verbal communication skills
- Ability to work independently, follow through on tasks, and handle multiple projects simultaneously
- Demonstrates professionalism, teamwork, and a commitment to a respectful and inclusive work environment
Nice To Haves
- Bachelor’s degree preferred
Responsibilities
- Complete quality audits for Eligibility and Benefits, Authorization Management, Patient Accounts, and Correspondence RCO functions.
- Coordinates and conducts RCO staff and vendor training; ensures training documentation is current, complete, and accurate.
- Ability to perform payer overlaps for the RCO and ensure _BO work queue is maintained.
- Lead ATA/RCA meetings with vendor in response to audits.
- Behaves in a manner consistent with Professional’s mission and values.
- Maintains a working knowledge of HIPAA, OSHA, Risk Management and compliance regulations.
- Attends Company meetings as required.
- Attends training classes as directed and completes assigned training courses.
- Practices confidentiality in accordance with Company policies and all laws and regulations.
- Other duties as assigned by the Vice President, Revenue Cycle Operations.
- Stays abreast of laws and regulations affecting reimbursement.
Benefits
- Sick time in accordance with state and local requirements
- 6 major holidays
- Company-matched 401(k)
- MetLife Pet Insurance
- Exclusive savings through PlumBenefits and LifeMart
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Number of Employees
501-1,000 employees
