Quality Analyst
Location:
Fort Mill , South Carolina
Posted:
December 31, 2016
Reference:
00001GUM
POSITION SUMMARY:

Under general direction of the Quality Manager, responsible for implementing new quality procedures and monitoring ongoing quality initiatives in support and success of the operations program.

PRIMARY DUTIES AND RESPONSIBILITIES:
  1. Performs quality audits on patient files to determine if information was processed according to standard operating procedures.
  2. Analyzes quality audit results in order to assess future training needs for the team; provides feedback to management team on standard operating procedures and updates as needed.
  3. Leads ongoing quality training sessions in order to reduce quality issues on the team.
  4. Assists with and monitors Fax quality Review Process.
  5. Assists with creating new quality metrics.
  6. Assists with regional payer surveillance activities.
  7. Provides dedicated support to an assigned subteam.
  8. Performs related duties as assigned.

Qualifications:
EXPERIENCE AND EDUCATIONAL REQUIREMENTS:

Requires broad training in fields such as business administration, accountancy, sales, marketing, computer sciences or similar vocations generally obtained through completion of a four year Bachelors's degree program or equivalent combination of experience and education; normally requires two (2) to three (3) years reimbursement, billing, coding, and/or project based research experience - working as a reimbursement counselor; must have demonstrated success as a client manager; previous experience with AccessOne is preferred.


MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:
  1. Firm understanding of reimbursement, patient assistance programs and benefit verifications
  2. Ability to lead and develop training sessions that address quality issues
  3. Must be self motivated with strong positive attitude
  4. Strong attention to detail; highly accountable
  5. Ability to take direction, work independently
  6. Must have excellent time management skills
  7. Excellent communication skills; ability to communicate effectively both orally and in writing
  8. Strong interpersonal skills
  9. Good problem solving skills and ability to prioritize
  10. Good analytical skills; desire to further develop analytic skills

A little about us:
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