About this role
About Jorie:
Jorie AI, occupies a uniquely interconnected position at the center of the healthcare industry. An inseparable part of today's healthcare billing ecosystem, with leading edge technology that is driving transformation with AI infused Robotic Process Automation for end-to-end Revenue Cycle Management, providing practice and financial management services to the healthcare industry. Applied Intelligence, Better Insight, Accelerated Efficiencies with Jorie AI.
Our work environment:
Remote opportunities
Growth advancement opportunities
Flexible work environment (Work-life Balance)
Collaborative and friendly company culture
Great Benefits:
401(k) matching up to 4%
Medical
Dental
Vision
Long/Short Term Disability insurance
Life insurance $25,000 Paid by employer
PTO 2 weeks
10 and half Holidays
About the Role
The Revenue Cycle Multi-Specialty Quality Assurance Specialist is responsible for evaluation and ensuring accuracy, and efficiency of end-to-end revenue cycle processes, various medical specialists. This role plays a pivotal role in maintaining quality standards related to eligibility verification/ authorizations, charges, basic/minimal coding, billing, collections/reimbursement, payment posting, and patient billing. The QA Specialist works closely with the QA manager to identify areas of improvement, root cause analysis, provide recommendations and assist with streamlining of processes.
Key Responsibilities
- Conducts routine audits of end-to-end process assignments to ensure proper SOP/guidelines are met.
- Evaluates eligibility verification and pre – authorization processes.
- Evaluates basic coding, charge entry, billing, and claims process, in addition to denied claims to ensure accuracy.
- Identify trends, root causes and system issues related to denials, no response, or underpayments.
- Collaborate with management to develop and implement process improvement plans.
- Maintain QA reports and complete timely weekly/monthly submissions.
Qualifications
Required
- High school diploma or equivalent
- 3 or more years of end-to-end revenue cycle operations experience
- Adequate knowledge of all functions in the revenue cycle
- Experience with payer rules, Medicare, Medicaid, commercial and managed care
- Experience with EMR systems
Preferred
- Previous QA experience in a revenue cycle setting
- Excellent written and verbal communication skills
- Ability to manage tasks in an ever-changing environment.
- Strong analytical and critical thinking skills
- Attention to detail with the ability to identify and resolve problems and document practical solutions.
Location
Oak Brook, Illinois (Remote)
Department
Payment Center
Employment Type
Full-Time
Minimum Experience
Mid-level
Other facts
About Jorie AI
Ready to embrace the future of healthcare finance? Discover Jorie, where advanced AI technology harmoniously merges FinTech and HealthTech, revolutionizing your financial processes. Utilizing Robotic Process Automation (RPA) and sharp analytics, we deliver cost-effective solutions, amplifying profitability and scalability. Our AI drastically cut collection costs, boost revenue, and mitigate bad debt write-offs, all while ensuring smooth operations and informed decision-making. Jorie is more than a service; it's a partnership committed to achieving your financial aspirations, navigating the complexities of healthcare finances with a robust, efficient, and forward-thinking strategic approach.
What you'll do
- The specialist evaluates and ensures the accuracy and efficiency of end-to-end revenue cycle processes across various medical specialists, focusing on areas like eligibility, coding, billing, and collections. This role involves conducting routine audits, identifying trends and root causes for denials or underpayments, and collaborating with management on process improvement plans.
Ready to join Jorie AI?
Take the next step in your career journey