Quality Assurance Billing Specialist (Remote)

Brightree is a wholly owned subsidiary of ResMed (NYSE: RMD, ASX: RMD).

When you work at Brightree, it’s more than just a job. You’ll be part of a team that’s driving innovation and leading the way in cloud-based patient management software.

The technology allows us to provide the tools for better outcomes but at our heart, we’re really about people. We strive to positively impact our customers’ businesses and the lives of patients every single day.

Job purpose: Brightree by ResMed is a technology company. But Brightree is, at its heart, about people. We develop innovative, end-to-end technology solutions and services for people facing everyday challenges in the post-acute care industry. Brightree helps streamline processes, improve efficiency, and increase profitability. For over fifteen years, organizations big and small have put their trust in us— for our wide-ranging solutions, our leadership, and our unmatched customer service. Going to work each day and creating new ways to positively impact our customers’ businesses and the lives of patients is just what we do. Because Brightree is, after all, about people. Brightree’s Revenue Cycle Management team, located in Paddock Lake, WI, is always thinking, creating and challenging ourselves to better serve our patients and customers.

This position reports to the RCM Adjustment and Refund Team Lead and is responsible for the quality and achievement of revenue adjustment goals. We are looking for someone who is highly motivated,

passionate about customer service, with the ability to follow policies and procedures as directed by Medicare, Medicaid and private insurances. Our Quality Review Specialist will work together with

internal and external customers on the phone, via software applications and via email. If you are seeking a rewarding position in the rapidly expanding healthcare and technology solutions space our Quality

Review Specialist position in the RCM Adjustments Department is for you!

Key accountabilities and decision ownership:

Performs quality review and edits to assure adjustments, rebills and refunds are completed accurately and according to the procedures established
Makes procedure recommendations and updates procedure documents for optimal performance
Communicates and works with cross-functional departments to identify potential risks and solutions for performance improvement
Identifies potential deficiencies in processes via analysis and trends
Provides education and assists in implementation of procedure changes
Identifies training needs and reports to Team Lead
Assures SLA’s and quality of work thresholds are maintained
Drives change through collaboration, influence, and partnerships
Manages workload to complete assignments in a timely fashion
Skills, experience, technical/professional qualifications: Must have:

High school education required, Associate’s or Bachelor’s Degree a plus
Two years accounts receivable experience
Effective communication skills with strong oral, written and persuasive abilities to work with people at all levels in the organization, as well as for documenting notes in client systems
Exceptional organizational skills with a high-level of attention to detail and the ability to multitask within multiple client databases
Demonstrated ability to work independently and complete tasks in a timely manner
Strong computer proficiency with Microsoft Office and Databases Preferred:
Passionate about customer service
Excellent problem-solving skills focused on identifying and implementing solutions for internal and external customers
Strong ethics with a high-level of personal and professional integrity
Results driven self-starter who is highly motivated and able to troubleshoot challenges on the fly
Proven track record of working towards and exceeding metrics
Highly Preferred:

Background In DME
Brightree Software Experience
We are shaping the future at ResMed, and we recognize the need to build on and broaden our existing skills and continue to attract and retain the world’s best talent. We work hard to offer holistic benefits packages, provide flexible work arrangements, cultivate a workforce culture that allows employees to grow personally and professionally, and deliver competitive salaries to our team members. Employees scheduled to work 30 or more hours per week are eligible for benefits. This position qualifies for the following benefits package: comprehensive medical, vision, dental, and life, AD&D, short-term and long-term disability insurance, sleep care management, Health Savings Account (HSA), Flexible Spending Account (FSA), commuter benefits, 401(k), Employee Stock Purchase Plan (ESPP), Employee Assistance Program (EAP), and tuition assistance. Employees accrue fifteen days Paid Time Off (PTO) in their first year of employment, receive 11 paid holidays plus 3 floating days and are eligible for 14 weeks of primary caregiver or two weeks of secondary caregiver leave when welcoming new family members.

Individual pay decisions are based on a variety of factors, such as the candidate’s geographic work location, relevant qualifications, work experience, and skills.

At ResMed, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current base range for this position is: $16.00 – 20.00 – 24.00 USD Hourly

For remote positions located outside of the US, pay will be determined based the candidate’s geographic work location, relevant qualifications, work experience, and skills.

Joining us is more than saying “yes” to making the world a healthier place. It’s discovering a career that’s challenging, supportive and inspiring. Where a culture driven by excellence helps you not only meet your goals, but also create new ones. We focus on creating a diverse and inclusive culture, encouraging individual expression in the workplace and thrive on the innovative ideas this generates. If this sounds like the workplace for you, apply now! We commit to respond to every applicant.