Job Overview :

The Quality Review Rep is responsible for providing training, curriculum development, project organization and implementation, as well as quality assurance functions across the Revenue Cycle enterprise at all locations.

The incumbent will be knowlegeable in all end-user systems and applications relative to Revenue Cycle management for the purpose of educating and training Revenue Cycle staff on systems and operational processes.

Qualifications : Required :

Required :

5 years in healthcare insurance billing or account follow-up; excellent knowledge of Revenue Cycle processes and systems

Essential Functions :

Facilitate training programs to meet the needs of the business across the Revenue Cycle enterprise. Maintain training documentation / manuals and job-aides to assure the successful performance outcomes of the group.

Assist in the development and facilitation of new hire on-boarding and existing hire continuing education.

• Other duties to support revenue cycle - When asked, performs other duties as assigned to support revenue cycle operations
• Perform high level account review and analysis to support department and A / R management
• Quality monitoring & Training Needs Reports to Revenue Cycle Leaders quality monitoring results and any identified and / or recommended training needs and deficiencies.

Reviews all Quality indicators to monitor trends and determine where training deficiencies exist. Implements corrective action plans as necessary for the deployment of training and / or process improvement efforts.

Monitors and assists in process and problem resolution, integrating efforts with training needs and quality monitoring.

Acts as support to leadership team to oversee and ensure overall department methodology, strategy and objectives are met.

Coach and mentor existing and newly hired members of the team as needed.

Other Duties :

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.

Last updated : 2024-07-11