Position Summary
As an Accounts Receivable Quality Assurance Specialist, you will be responsible for ensuring all revenue booked by the company can be supported by the documentation present during the admission process. This is done by reviewing and checking all admission paperwork necessary for complete and accurate billing. S/he will work closely with each of the programs to correct paperwork that contains technical errors and maintain a log of all new admissions so that a program scorecard can be generated on a monthly basis. The Accounts Receivable Quality Assurance Specialist will review results with each of their programs and assist the programs in developing mitigating processes to reduce errors in the future. The Accounts Receivable Quality Assurance Specialist will also work closely with the other billing teams to ensure corrected elections are re-submitted timely.
Principal Accountabilities
Knowledge and Skills
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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience
High School diploma or GED required. Associate's degree or equivalent from two-year college or technical school preferred; minimum of one year experience in healthcare billing systems and/or training in data processing on micro-computer systems and third party billing in a health care setting.
Mathematical Skills
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage.
Language Skills
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from leaders, colleagues, investors, and external parties. Strong written and verbal communications.
Reasoning Ability
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, or schedule form.
Computer Skills
Proficiency in Microsoft Office Suite.
Other Qualifications
Strong organizational and time management skills. Must be able to work a flexible schedule to include nights and weekends. Possesses familiarity with medical terminology and medical records. Possesses effective communication and organizational skills. Maintains a professional demeanor and appearance and is self-motivated and dependable. High integrity, including maintenance of confidential information, such as patient records.
Certifications, Licenses and Registrations
A valid driver’s license and auto liability insurance.
Other Skills and Abilities
Ability to understand, read, write, and speak English. Articulates and embraces hospice philosophy.
Physical Demands
The physical demands described here are representative of those that must be met by a colleague to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the colleague is regularly required to use hands to finger, handle, or feel; talk and hear. The colleague frequently is required to stand, sit, and reach with hands and arms. The colleague is occasionally required to walk; climb or balance; stoop, kneel, crouch, or crawl; and taste or smell. The colleague must frequently lift and/or move more than 50 pounds. Specific vision abilities required by this job include close vision.
Work Environment
The work environment characteristics described here are representative of those a colleague encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
There will be possible exposure to infectious diseases through working with clinical caregivers. The noise level in the work environment is usually quiet.
Compassus, including all Compassus affiliates, complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Compassus, including all Compassus affiliates, does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Join our Talent Network at the link below to stay up to date on our current openings.
