Note: The job is a remote job and is open to candidates in USA. The Computer Merchant, LTD (TCM) is seeking a Revenue Cycle QA Analyst. The role plans and executes quality assurance for complex financial management service portfolios, analyzes claiming and financial data, prepares reconciliation reports, and communicates findings to business and executive stakeholders. The analyst also performs ad-hoc QA reviews, improves claiming operations, and tracks bugs and risks.
Responsibilities
- Planning and executing quality assurance for complex and large-scale financial management service (FMS) portfolio
- Work with multiple financial and claiming systems to analyze claiming operations and reconcile reported data
- Prepares and administers accurate monthly program reconciliation reports for senior & executive management review
- Communicate quantitative and qualitative findings from analysis to the business team
- Maintain departmental scorecard and reporting documents that are essential to monitoring identified areas of claiming performance need
- Work closely with internal business partners in order to achieve organizational financial reconciliation objectives
- Perform ad-hoc QA reviews of ongoing claiming operations to ensure compliance with revenue cycle best practices
- Consults with management on better operational procedures to improve overall claiming efficiency and quality reimbursement yields
- Reviews and addresses QA related issues reported by team members and management
- Identify, record, document and track bugs and discovered risks
Skills
- Analytical skills, including the ability to analyze quantitative and qualitative information and reach sound conclusions
- Knowledge of medical billing, revenue cycle cash flow & electronic data interchange (EDI) transactions
- Ability to perform A/R statistical analysis, identify gaps, develop, and deploy solutions necessary for achievement of reconciliation objectives
- Detailed and process-improvement oriented
- Ability to read and understand technical specifications
- Outstanding PC spreadsheet skills required
- Ability to work independently and with a team
- Bachelor's degree preferred or equivalent and relevant professional experience in finance/corporate finance and/or QA work
- 3+ years' experience in finance/corporate finance, project management experience preferred
Benefits
- Medical benefits
- Dental benefits
- Vision benefits
- Dependent care flexible spending account
- 401(k) plan
- Voluntary life coverage
- Short-term disability coverage
- Whole life coverage
- Term life coverage
- Accident coverage
- Critical illness coverage
- Employee assistance program
- Sick leave in accordance with regulation
Company Overview