Jorie AI · 8 hours ago
Revenue Cycle Multi-Specialty Quality Assurance Specialist
United States
Full-time
Remote
Mid Level
3+ years expJorie AI is at the forefront of the healthcare industry, providing innovative AI-infused solutions for revenue cycle management. The Revenue Cycle Multi-Specialty Quality Assurance Specialist is responsible for ensuring the accuracy and efficiency of various revenue cycle processes and collaborating with management to identify areas for improvement.
Artificial Intelligence (AI)Financial ServicesHealth CareHospital
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
Qualification
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
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
Company
Jorie AI
Jorie AI: Advanced Automation is a fully end-to-end AI automated revenue cycle management technology company.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Jorie Healthcare
Jorie Healthcare Partners LLC
Tom Stirnaman
Channel Partner
Recent News
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