Quality Assurance Specialist

Position Summary: 

The Quality Assurance Specialist role will work to identify and remediate front-end operational errors to support the initiative of achieving a 100% clean claims target rate. You will support the Revenue Cycle Management (RCM) team and be responsible for performing and resolving quality assurance audits.

Hours: 40 hour schedule M-F within the hours of 9AM-5:00PM

Pay: $22 per hour

Job Duties and Responsibilities include the following.  Other duties may be assigned.

• Implementing quality assurance policies and procedures to reduce clearinghouse rejections and insurance claim denials for maximum reimbursement of revenue.
• Identifying & resolving any errors found during the QA billing scrub in a timely manner.
• Identifying and resolving workflow issues.
• Ensuring that standards and requirements are observed.
• Maintaining and developing internal support across the organization.
• Attending department meetings/evaluations with meaningful and constructive feedback.
• Participating in department meetings to maintain consistency within RCM department.
• Helping the team improve performance with constant support.
• Providing support and/or training at the center level as needed.
• Contributing to the team culture in a positive manner.
• Assisting with internal audits to ensure compliance with payor billing requirements.
• Assisting with ad hoc projects related to various RCM Team functions & process improvements.
• Problem-solving capabilities to create meaningful strategies to improve support quality.

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. 

Education:

High school diploma or general education degree (GED); or one to three months related experience and/or training; or equivalent combination of education and experience.

BlueSprig is an Equal Opportunity Employer. BlueSprig aims to be an inclusive and equitable employer. We do not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment decisions are made on the basis of qualifications, merit, and business need. At BlueSprig, we level the playing field for all.