About Us:
Meduit is a national leader in healthcare revenue cycle management, supporting hospitals and physician practices in 48 states. We focus on optimizing payments, allowing clients to focus on patient care, and pride ourselves on our core values: Integrity, Teamwork, Continuous Improvement, Client-Focused, and Results-Oriented. Learn more at www.meduitrcm.com.
About the Role:
The Insurance Quality Assurance (QA) Specialist audits and reviews account representatives’ work to ensure accuracy, compliance with company policies, and adherence to regulatory and client specific requirements. The role supports revenue cycle performance through data analysis, trend identification, and actionable feedback to Operations.
Title: Insurance QA Specialist
Location: Remote
Schedule: Full-Time, any US Time Zone
Department: Training
Reports To: Insurance Trainer QA Supervisor
Compensation: $20 & up, depending on experience & qualifications
Key Responsibilities:
Conduct audits across multiple projects to assess account accuracy, documentation quality, billing and coding practices, and adherence to standard operating procedures and workflows
Verify claims, validate data integrity, and evaluate compliance with regulatory and client specific guidelines specific guidelines
Analyze audit results to identify error trends, discrepancies, and opportunities for improvement
Document clear, accurate audit findings and recommendations, highlighting training needs and process improvement opportunities
Provide reporting and feedback to Operations to support performance improvement and compliance
Maintain strict confidentiality and security of patient and company information
Meet established daily, weekly, and monthly productivity and quality targets
Competencies:
Strong verbal and written communication skills, including public speaking and group facilitation
Ability to maintain a working knowledge of multiple systems and applications as assigned
Strong organizational, time management, and multitasking skills in a fast-paced environment
Detail oriented and self-motivated, with strong follow-up skills
Adaptable with the ability to shift priorities as needed
Ability to maintain confidentiality of patient, employee, and company information
Ability to understand and comply with organizational policies, procedures, and regulatory requirements
Required Qualifications:
Minimum of 3-5 years of experience in revenue cycle management, billing, coding, or quality assurance within a healthcare setting
Internal candidates: minimum of 1 year with Meduit
Experience with nationwide payors and regulations: Medicare, Medicaid, and commercial payor experience
Proficiency with Microsoft Office
Download speed of 30MB or higher & upload speed of 10MB or higher are REQUIRED. (you can test your speed here: https://speedtest.net/)
Access to a Secure and Private workspace (a space in which no one can hear or see you as you may have protected health information on your screen or you may say names, social security numbers or other PHI)
Preferred Qualifications:
Bachelor’s degree in Health Information Management, Healthcare Administration, and/or related field
Certification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or similar credentials
Systems Experience: Epic, Meditech, Cerner, & ECW
Employment eligibility:
Must be legally authorized to work in the United States without sponsorship
As a condition of employment, a pre-employment background check will be conducted
What We Offer:
Comprehensive paid training
Medical, dental, and vision insurance
HSA and FSA available
401(k) with company match
Paid Wellness Time and Holidays
Employer paid life insurance and long-term disability
Internal growth opportunities
Meduit is an Equal Opportunity Employer. We do not discriminate based on any protected class and welcome applicants from all backgrounds, consistent with applicable laws. Employment is contingent upon successful completion of a background check, satisfactory references, and any required documentation.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.
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