Quality Assurance Provider

Job Summary:

Conducts quality audits on medical billing, coding, receipting, and/or early out service functions performed by TruBridge employees or TruBridge contracted or sub-contracted staff.  Discusses findings with the auditee and/or his/her supervisor(s).  Summarizes findings and reports to appropriate Management at prescribed intervals.

Investigates, analyzes, negotiates, resolves, documents and reports on consumer and commercial billing issues and complaints against the organization. Identifies solutions that address billing issues and presents appropriate resolution options to customers. Negotiates and authorizes billing settlements within established limits and adjusts customer accounts.

Essential Functions:

In addition to working as prescribed in our Performance Factors specific responsibilities of this role include:  •    Conducts quality assurance audits on TruBridge employees, or sub-contracted staff.  •    Present findings to the auditee.  •    Summarize findings, and report to Management. •    Develop training materials. •    Conduct presentations to audited staff for further development.   •    Assists in developing training plans for clients, TruBridge employees, and sub-contracted employees. 

Minimum Requirements: Education/Experience/Certification Requirements •    Excellent communication (written and oral) and interpersonal skills. •    Strong organizational, multi-tasking, and time-management skills. •    Must be detail oriented and able to follow through on issues to resolution.  •    Must be able to act both independently, and as a team member. •    3 years revenue cycle experience.  •    Minimum of Intermediate level of Excel experience •    Comfortable speaking in a group setting •    Able to present audit findings in a confident and constructive manner. •    Able to teach billing compliance concepts to an individual or in a group setting.

Preferred Qualifications:

•    Associates degree or higher or the years of experience in a related field.