Reliable Respiratory · 1 month ago
Billing Quality Assurance Analyst - Remote
United States
Full-time
Remote
New Grad, Entry Level
$35/hr - $40/hrReliable Respiratory is a Durable Medical Equipment (DME) company that provides high-quality service for patients needing respiratory and other medical support. The Billing Quality Assurance Analyst is responsible for supporting the Billing Department by conducting audits and quality control of billing duties to ensure compliance with established standards and regulations.
MedicalMedical Device
No H1B
Responsibilities
Responsible for conducting detailed audits of customer calls, payments, denials, and billing systems to ensure accuracy and adherence to SOPs
Reviews patient records, billing codes and payment data to identify coding or submissions errors
Identifies patterns and recurring errors from audit results to pinpoint areas for improvement
Develops and implements audit plans and quality criteria to evaluate processes and procedures
Prepare detailed reports on quality metrics and performance trends
Ensures all billing practices adhere to relevant healthcare regulations (HIPAA) and industry best practices
Stays updated on coding guidelines, payer requirements and regulatory changes to ensure compliance
Recommends and drives modifications to operating practices and policies to eliminate quality gaps and improve efficiency
Monitors team productivity and operational efficiency targets to ensure KPI’s are met
Complete ad-hoc project work as directed by your manager
Assist in facilitating workload distribution relevant to specific department needs
Other tasks and duties as require
Qualification
Required
18 years of age or older
Must be eligible to work in the United States and not require work authorization from us now or in the future
Experience with completing quality control functions associated with billing
Effective and professional verbal and written communication abilities
Professional computer experience (especially Microsoft Office Suite)
Ability to work in the Norwood office, as needed
Ability to work independently to investigate and make decisions
Ability to prioritize and complete work amidst interruptions in a busy work area
Ability to comply with guidelines both internal and industry-imposed
Ability to reconcile multiple shifting logistical factors for each appointment
Strong attention to detail
Preferred
Bachelor's Degree preferred
Bilingual in English and Spanish preferred
Company
Reliable Respiratory
Reliable Respiratory operates as a home respiratory and specialty medical equipment providers.
Founded in 2009
201-500 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase