RCM Systems & Automation QA Manager

National Seating & Mobility•Chattanooga, TN

About The Position

THE RCM SYSTEM & AUTOMATION QA MANAGER ENSURES THE QUALITY OF AUTOMATION AND SYSTEM ENHANCEMENT INITIATIVES ACROSS REVENUE CYCLE MANAGEMENT DURING ROLL OUT AND REGULAR BUSINESS OPERATIONS. THIS ROLE PARTNERS WITH IT, OPERATIONS, RCM TEAMS, COMPLIANCE AND EXTERNAL VENDORS TO OPTIMIZE INTERNAL SYSTEMS, IMPROVE WORKFLOW EFFICIENCY, AND ENSURE ADHERENCE TO COMPANY POLICY AND PAYER REQUIREMENTS. THE QA MANAGER COMPLETES QA TESTING, ISSUE RESOLUTIONS, AND HELPS COORDINATE STAFF TRAINING TO SUPPORT CONTINUOUS IMPROVEMENT WITHIN NSM’S REVENUE CYCLE SYSTEMS. At all levels, working at National Seating & Mobility provides the opportunity to directly impact our clients’ lives by giving them self-reliance and independence. Our teams are comprised of passionate individuals, dedicated to providing the best care for each client. We focus on abilities by leveraging technology and creating mobility solutions that are as unique as our clients’ needs. Working at National Seating & Mobility is an opportunity to build a meaningful career, while leaving a lasting impact on the lives of those we serve. Located in more than 40 states, we strive for diversity and offer an array of benefits including 401k, company paid Long Term Disability, and tuition reimbursement.

Requirements

High School Diploma or G.E.D. Required, College Degree Preferred
Drug Test
Extensive working knowledge of Funding, Billing and Collections for Medicare, Medicaid and Commercial payers
Good oral, written and communication skills
Working knowledge of Microsoft suite products
Proven record of excellent people skills including good communication and inter-personal skills
Strong Team Player
Strong organizational skills and attention to detail
Ability to effectively present information and respond to questions from a variety of staff
Basic understanding of and willingness to learn and adopt professional and industry business standards/needs.

Nice To Haves

Knowledge of government payer regulations desired

Responsibilities

Ensure the quality of system improvements and automation initiatives for RCM operations.
Completes and monitors systems QA and automation activities to ensure alignment with company standards. Compliance and payer requirements.
Completes and oversees QA testing of internal systems to ensure functionality, accuracy and regulatory compliance.
Continually QA automation activities to ensure compliance with NSM requirements and payer standards.
Partners with IT and developers to test and implement automation and process improvement projects.
Analyze system QA data to identify trends, root causes, and opportunities for improvement in existing systems.
Establish, document, and maintain protocols, test plans, and audit records.
Prepare and present detailed QA systems reports with actionable insights for leadership review.
Monitor automation performance post-deployment and coordinate resolution of system issues.
Coordinates with training and communication teams to support new system functionality and automation tools.
Review findings of QA on new and existing system enhancements and automation with RCM leadership to strengthen process understanding and performance consistency.
Foster a culture of continuous improvement, quality awareness and accountability.
Serve as a liaison between RCM, IT, Compliance, Training, and Operations to ensure cross-departmental alignment.
Support development and adherence to policies, procedures and payer regulations.
Participate in strategic planning discussions related to technology, quality, and operational excellence.