Analyst Quality Control (Medical Claims) (Hybrid)

Scheduled Hours

40

Position Summary

Position is responsible for ensuring effective and efficient workflow processes for the PBS AR Management Team. This will entail auditing staff performance, creating and maintaining written guidelines, and assisting with onboarding of new hires with workflow training.

Job Description

Primary Duties & Responsibilities:

• Provides monthly review of workflow for all PBS AR Management team areas to ensure the highest level of quality and accuracy among staff.
• Creates and/or updates written guidelines, policies, procedures, and workflow documentation as needed.
• Monitors the accuracy of AR staff work performance and takes action to assure compliance with written guidelines.
• Provides management with support and feedback on the accomplishment of goals and opportunities for improvement of individual team members.
• Collaborates with management team on appropriateness of benchmarks for quality and efficiency and suggests updates to quality and accuracy metrics as warranted.

Working Conditions:

Job Location/Working Conditions

• Normal office environment.
• Primarily remote with the exception of coming into the office at least once a month.

Physical Effort

• Typically sitting at desk or table.

Equipment

• Office equipment.

The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.

Required Qualifications

Education:

Bachelor's degree

Certifications/Professional Licenses:

No specific certification/professional license is required for this position.

Work Experience:

Relevant Experience (2 Years)

Skills:

Not Applicable

Driver's License:

A driver's license is not required for this position.

Preferred Qualifications

Education:

No additional education unless stated elsewhere in the job posting.

Certifications/Professional Licenses:

No additional certification/professional licenses unless stated elsewhere in the job posting.

Work Experience:

No additional work experience unless stated elsewhere in the job posting.

Skills:

Accounting, Analytical Thinking, Communication, Detail-Oriented, Epic EHR, Health Administration, Health Insurance Billing, Insurance Follow Up, Interpersonal Communication, Medical Terminology, Patient Registration, Patient Services, Registration Management, Teamwork

Grade

G09-H