Physician Services QA Representative - Remote

JOB SUMMARYThe primary purpose of this position is to support the Cash Applications and Charge Entry Departments’ quality control program. It is the intent of Conifer-Physician Services to evaluate all employees on a consistent basis, new hire and tenured, to ensure superior performance for our clients through effective credit balance resolution, payment posting and charge entry. Additionally, the program is designed to identify any potential staff coaching/training opportunities to inspire learning development.The Quality Assurance Specialist is responsible for evaluating individual employee performance by auditing invoices/accounts worked, using a variety of tools and applications to associate scores and outcomes. This individual must possess the skills to effectively interact with all staff and leadership with an objective discourse and must be able to handle multiple tasks and priorities with minimal supervision while maintaining confidentiality and meeting compliance guidelines.ESSENTIAL DUTIES AND RESPONSIBILITIESInclude the following. Others may be assigned.Completes audits for representatives through sampling invoices/accounts worked on a consistent basis, per the policies and procedures of the client and/or departmentDocuments audit results concisely in an excel spreadsheet, including quality score and any coaching opportunitiesCommunicates audit results with leadership in a constructive mannerCompiles weekly and monthly summary reports and shares trends with leadershipProvides input surrounding policies/procedures and training documentation, including new policies or modifications to existing policies for the client and/or departmentParticipates in staff training when neededParticipates in calibration sessions as neededFacilitates dispute process between employees and leadershipOther duties as assignedKNOWLEDGE, SKILLS, ABILITIESTo perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Proficient knowledge with Microsoft Office applications (Outlook, Word, Excel)Ability to work effectively under tight deadlines, high volumes and multiple interruptionsExcellent communication and interpersonal skills with ability to influence others from diverse backgrounds and orientationsPrevious experience with practice management systems preferred; Epic, GE Centricity, and NextGen experience a plusStrong organization, analytical and problem-solving skillsConifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.EDUCATION / EXPERIENCEInclude minimum education, technical training, and/or experience preferred to perform the job.High school diploma or equivalent Minimum of 4 years healthcare experience with good knowledge of revenue cyclePHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must be able to work in sitting position, use computer and answer telephoneWORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Office Work EnvironmentTRAVELApproximately 0% travel may be requiredAs a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!Compensation and Benefit InformationCompensationPay: $18.60 - $28.00 per hour. Compensation depends on location, qualifications, and experience. Position may be eligible for a signing bonus for qualified new hires, subject to employment status.Conifer observed holidays receive time and a half.BenefitsConifer offers the following benefits, subject to employment status:Medical, dental, vision, disability, and life insurancePaid time off (vacation & sick leave) – min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.401k with up to 6% employer match10 paid holidays per yearHealth savings accounts, healthcare & dependent flexible spending accountsEmployee Assistance program, Employee discount programVoluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.Originally posted on Himalayas

Apply Now