Make your next big career move by applying as KMC Solutions’ next QUALITY ASSURANCE ANALYST
The Quality Assurance (QA) Analyst is responsible for evaluating and reporting the performance quality of our call center agents, patient account specialists, and senior accounts receivable (AR) specialists. The QA Analyst will monitor the efficiency and accuracy of the revenue cycle process by analyzing and auditing key metrics across billing, accounts receivable (AR), coding, payments, and call center operations. Additionally, the QA Analyst will develop reporting mechanisms utilizing Business Intelligence (BI) tools to track the performance of patient account specialists and senior AR specialists. The ideal candidate will have a strong background in revenue cycle management, quality assurance, data analysis, and an eye for detail and proactive approach to identifying and resolving issues.
On top of your salary, here are the exciting benefits you can look forward to:
- Health Insurance/HMO
- Enjoy unlimited MadMax Coffee
- Diverse learning & growth opportunities
- Accessible Cloud HR platform (Sprout)
- Above standard leaves
The main responsibilities of a QUALITY ASSURANCE ANALYST include:
- Utilize BI tools (e.g., Tableau, Power BI, Qlik) to create, maintain, and enhance dashboards and reports that provide visibility into key revenue cycle metrics, including billing accuracy, AR aging, coding quality, payment reconciliation, and call center performance.
- Analyze data to identify trends, root causes of issues, and opportunities for process improvements across the revenue cycle.
- Conduct regular audits and assessments of billing, AR, coding, payment, and call center processes to ensure adherence to internal policies, payer requirements, and regulatory standards.
- Provide actionable data to various internal support groups as needed.
- Monitor and analyze call center metrics, including response times, resolution rates, and customer satisfaction, to ensure high levels of service and support for patients and providers.
- Provide feedback to call center team leaders and managers.
- Prepare and analyze internal and external quality reports for management staff review.
- Identify and recommend process improvements.
- Ensure compliance with company guidelines and policies.
To apply, you must be an expert on the following requirements:
- Minimum of 5 years of experience quality assurance. Revenue Cycle and/or Healthcare QA experience preferred.
- Strong knowledge and understanding of ICD-10 codes is a must.
- Strong knowledge of customer care processes and techniques.
- Excellent verbal, written, and interpersonal communication skills.
- Exceptional listening and analytical skills.
- Proficiency in using BI tools (e.g., Tableau, Power BI, Qlik) for data analysis, dashboard creation, and reporting.
- Proficiency in PC hardware and software systems (Excel, Google Suite, etc.)
- Strong knowledge of call center telephony and technology.
- Proven ability to meet deadlines and handle multiple tasks simultaneously.
- Demonstrated ability to train and develop employees.
- Ability to work well in a team environment.
- Audit experience.
- Strong analytical skills.
It will also be favorable if you are knowledgeable in:
This role has been closed
Applications are no longer being accepted for this position.