TridentCare
Description
The 3rd Party Quality Assurance Representative is responsible for completing Quality Audits for all of the 3rd Party AR team as well as creating New’s Flash / SOP’s for use by management and team members.
- Prepare, edit and submit New’s Flash, quick reference guides for the 3rd Party AR team.
- As required, develop and update SOP’s related to 3rd Party billing practices.
- Responsible for providing training sessions or creating training materials to be shared with the individual team members, teams, or leadership.
- Q&A representative is responsible for weekly/monthly audits of the entire 3rd party team.
- This individual will need to have a vast knowledge in the 3rd party Medical billing and have some knowledge of payers, trends, and billing processes in the QA environment.
- This individual will be tasked to complete 30 claims per representative per team.
- Review and monitor performance measures of QA through internal audits and review of best billing practices in order to ensure conformance and effectiveness of 3rd Party billing team.
- Demonstrate time management and project organizational skills.
- Complete all reports according to schedule.
- Perform other tasks as assigned to support the goals of the organization.
- To be able to work independently and to assist the Quality Assurance Supervisor in all Quality Assurance tasks.
- This will be a remote position and will required proficient excel and proficient computer knowledge is required.
- To work remote position requires high speed internet and be able to pass speed test.
Qualifications
Skills
Required
Microsoft Office
Some Knowledge
Typing Skills Min 35 wpm
Intermediate
Claims Processing
Some Knowledge
Preferred
Analysis
Novice
Time Management
Novice
Behaviors
Required
Enthusiastic: Shows intense and eager enjoyment and interest
Team Player: Works well as a member of a group
Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
Preferred
Thought Provoking: Capable of making others think deeply on a subject
Motivations
Preferred
Work-Life Balance: Inspired to perform well by having ample time to pursue work and interests outside of work
Self-Starter: Inspired to perform without outside help
Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization