Rotech Healthcare · 8 hours ago
Contract Quality Analyst (WFH)
Orlando, FL
Full-time, Contract
Remote
Mid Level
3+ years exp
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No H1B
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Responsibilities
Communicates identified inconsistencies and works with the Contract Lead and CAD Management to standardize the CAD quality review process
Documents QA findings and quantifies a quality percentage
Maintains detailed knowledge of CAD system(s) functions, HCPCS and Rotech's core product lines
Maintains general knowledge of payers and insurance product types
Meets a production and quality standard
Performs 100% quality analysis of all payer plan loads and updates, HCPC addition/update requests, changes to fee schedules and rate tables and payer rule changes
Provides one on one QA results and re-education on areas that result in a failure per the appropriate QA Checklist tool
Solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists
Work on complex projects independently to completion under significant deadline restraints
Work with internal and external customers to develop contract strategies for contract implementation
Performs other duties as assigned
Qualification
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Required
High school diploma or GED equivalent, required
Effectively communicate in English; both oral and written
Interpret a variety of communications (verbal, non-verbal, written, listening and visual)
Knowledge of Industry Contracts and medical billing
Maintain confidentiality, discretion and caution when handling sensitive information
Multi-task along with attention to detail
Self-motivation, organized, time-management and deductive problem solving skills
Work independently and as part of a team
Email transmission and communication
Internet navigation and research
Microsoft applications; Outlook, Word and Excel
Lift and carry office equipment at times
Regularly review documents with small print
Requires close vision to small print on computer and/or tablet and paperwork
Requires sitting, walking, standing, talking and listening
Utilize computer for long periods of time
Walk, sit, talk, and listen for extended periods of time
Preferred
Associates degree or equivalent combination of college education and/or related work experience in healthcare, billing, and/or industry contracts, preferred
Paralegal Certificate, preferred
Three years of related work experience, preferred
Innovative Medical Billing System (IMBS), HRCM, eIntake and Skylark, preferred
Benefits
Generous paid time Off and paid holidays
Overtime pay for non-exempt hourly positions based on business needs
Commission for Account Executives
Fixed and variable rate car reimbursement for Area Managers and Account Executives
Employee discount program
Employee recognition program
Bonus and incentive opportunities
Mileage reimbursement (when applicable for the position)
Telephone reimbursement (when applicable for the position)
EAP
401k
Medical, Prescription, Dental and Vision
HSA and FSA/Dependent Care FSA
Life Insurance, Disability, Accidental death, Identity protection and Legal services
Meru Health Mental health and Mercer SmartConnect Medicare programs
Livongo Diabetes and High Blood Pressure programs
Healthcare Bluebook and RX Savings solutions programs
HEPB and TB vaccinations
Company
Rotech Healthcare
Rotech Healthcare is a provider of medical equipment and services that enable patients to manage their treatment at home.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
$6.5M2024-07-23Acquired
2011-03-25Debt Financing· $6.5M
Leadership Team
T
Tom Koenig
Chief Financial Officer
Recent News
2024-04-11
Company data provided by crunchbase
