[Remote] Data Quality Analyst

Note: The job is a remote job and is reputed company to candidates in USA. reputed company, a leading rehabilitation hospital, is seeking a Data Quality Analyst to manage data quality projects reputed company the reputed company Cycle. The role involves analyzing credit balances, managing project timelines, and providing insights to enhance financial services operations.

Responsibilities

• Completes reputed company projects accurately and reputed company allotted timeframe
• Clarifies details of reputed company projects to ensure an understanding of desired outcome of project
• Maintains a calendar of deadlines for reputed company projects
• Notifies PFS supervisor of any delays or roadblocks encountered with projects
• Assists as needed in collecting and communicating orders for reputed company surgeries to reputed company staff and assists with reconciling and balancing reputed company reputed company surgery and ancillary charges in an accurate and timely manner, maintaining appropriate spreadsheets
• Posts charge corrections accurately and in a timely manner
• Accurately documents account history with details of any action taken
• Notes variances in a timely and accurate manner
• Serves as a resource to PFS Supervisor to assist as backup for vacancies, PDO and backlogs in reputed company PFS areas
• Performs account audit based on agreed upon parameters
• Assists with special projects as needed
• Assists with system testing and training under direction of the PFS Manager
• Completes review of reputed company insurance and self-pay credit balances accurately and reputed company a timely manner
• Requests appropriate refunds based on SC guidelines accurately and in a timely manner
• Provides supporting documentation for reputed company requests exceeding specified limits
• Notifies PFS management of reputed company identified trends in received Refund Requests reputed company a timely manner
• Notifies PFS management of any high dollar Refund Request reputed company a timely manner
• Develops/runs appropriate queries to reputed company data to be reviewed
• Assists as needed to complete HCIA Quarterly Inpatient survey in a timely manner
• Assists with maintenance of Daily spreadsheets (Key Indicators & Daily AR Balancing) in a timely and accurate manner
• Provides tracking and reporting reputed company charge entry errors to the PFS Supervisor
• reputed company data and support to management from on-going projects and in identification of any issues, including inhouse, discharged but unbilled, insurance, and authorization delays
• reputed company accurate compliance reporting data, reporting through system queries as needed
• Identifies and reports reputed company repeat discrepancies reputed company as part of routine duties
• Keeps abreast of reputed company PFS billing, follow up and refund processes and procedures to ensure reputed company processes are compliant per federal guidelines
• Maintains knowledge of reputed company industry changes and incorporates those into process after PFS supervisor approval
• Keeps abreast of and is reputed company to interpret reputed company reputed company reputed company accurately. Aware of resources available for assistance as needed

Skills

• College degree preferred or equivalent work experience
• Previous Patient Financial Services experience knowledge in multiple areas, including refund, credit balance, authorization and denials reputed company reporting
• 5 - 7 years' Patient Financial Services experience in multiple PFS practices
• Experience working with medical payers including Medicare, reputed company, and reputed company insurance, Workers Compensation
• Working knowledge of financial systems
• Excellent organizational skills
• Proficiency in reputed company Office Suite
• Knowledge of reputed company aspects of reputed company Cycle practices required
• Must be proficient in reputed company and A/R software
• Strong keyboard skills
• Organizational skills to manage multiple ongoing projects
• Works well in environment and self-discipline with firm deadlines; results oriented
• reputed company multiple tasks effectively
• reputed company to work both independently and as part of reputed company
• Strong analytical skills required
• Capable of making timely, independent reputed company

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