Quality Analyst - RCM

Quality Analyst In Revenue Cycle Management

Neolytix is a boutique Consulting and Management Services Organization that works with small & medium-sized healthcare providers across the United States. Our portfolio of services caters to micro verticals and is built on the expertise we have developed in enabling these practices.

Work with a company where your work can make a real impact! We are a boutique company respected for providing no-nonsense advice on key issues that impact them. 4.7 stars on Google and 4.2 stars on Glassdoor with 80% of approval rating!

We are seeking a dynamic and experienced individual to join our team as a Quality Analyst in the Revenue Cycle Management (RCM) department. The successful candidate will play a crucial role in ensuring the accuracy and efficiency of our medical billing processes.

Requirements:

• Proficient in English communication, both verbal and written.
• Typing speed of 30-35 words per minute.
• Graduation with a strong foundation in statistical knowledge.
• 3+ years of hands-on experience as a payment poster, charge poster, or AR caller in US healthcare sector.
• In-depth knowledge of HIPAA regulations, CPT codes, and denials management.
• Proven experience in monitoring agent calls and providing constructive feedback.
• Ability to identify and propose training needs based on performance assessments.

Responsibilities:

• Demonstrate a comprehensive understanding of revenue cycle management in the context of US medical billing for providers and hospitals.
• Utilize experience as a billing executive to contribute to the efficiency of billing processes.
• Resolve billing queries and issues promptly to prevent delays in payment.
• Ensure timely and accurate delivery of projects within the RCM department.
• Exhibit excellent time management and self-governing skills to meet project deadlines.
• Provide consistent and constructive feedback aimed at enhancing the overall quality of work.
• Collaborate in auditing transactions across different domains, including charge entry, payment entry, and denial handling.
• Offer valuable inputs on client-related issues and suggest improvements to processes or client profile instructions.

Job Types: Full-time, Permanent

Benefits:

• Health insurance
• Paid sick time
• Paid time off
• Work from home

Schedule:

• Monday to Friday
• Night shift

Experience:

• Medical billing/RCM: 3 years (Required)
• Quality analyst: 1 year (Preferred)

Work Location: Remote/Hybrid