CrawlJobs Logo
Jorie AI Logo Jorie AI · IT - Administration

Revenue Cycle Multi-Specialty Quality Assurance Specialist

United States, Oak Brook 28.00 - 32.00 USD / Hour · Job Posted February 19, 2026

Job offer has expired

Job Link Share

Job Description

The Revenue Cycle Multi-Specialty Quality Assurance Specialist is responsible for evaluation and ensuring accuracy, and efficiency of end-to-end revenue cycle processes, various medical specialists. This role plays a pivotal role in maintaining quality standards related to eligibility verification/ authorizations, charges, basic/minimal coding, billing, collections/reimbursement, payment posting, and patient billing. The QA Specialist works closely with the QA manager to identify areas of improvement, root cause analysis, provide recommendations and assist with streamlining of processes.

Job Responsibility

  • Conducts routine audits of end-to-end process assignments to ensure proper SOP/guidelines are met
  • Evaluates eligibility verification and pre – authorization processes
  • Evaluates basic coding, charge entry, billing, and claims process, in addition to denied claims to ensure accuracy
  • Identify trends, root causes and system issues related to denials, no response, or underpayments
  • Collaborate with management to develop and implement process improvement plans
  • Maintain QA reports and complete timely weekly/monthly submissions

Requirements

  • High school diploma or equivalent
  • 3 or more years of end-to-end revenue cycle operations experience
  • Adequate knowledge of all functions in the revenue cycle
  • Experience with payer rules, Medicare, Medicaid, commercial and managed care
  • Experience with EMR systems

Nice to have

  • Previous QA experience in a revenue cycle setting
  • Excellent written and verbal communication skills
  • Ability to manage tasks in an ever-changing environment
  • Strong analytical and critical thinking skills
  • Attention to detail with the ability to identify and resolve problems and document practical solutions

What we offer

  • 401(k) matching up to 4%
  • Medical
  • Dental
  • Vision
  • Long/Short Term Disability insurance
  • Life insurance $25,000 Paid by employer
  • PTO 2 weeks
  • 10 and half Holidays
  • Growth advancement opportunities
  • Flexible work environment (Work-life Balance)
  • Collaborative and friendly company culture
Jorie AI - All Job Offers

Looking for more opportunities?

Search for other job offers that match your skills and interests.

Suggested Tags: Frontend Developer Secretary Talent Manager Salesforce Administrator Data Analyst
Similar Jobs for

Revenue Cycle Multi-Specialty Quality Assurance Specialist

8 matching positions

Medical Billing Specialist

This Contract to permanent position offers an exciting opportunity to manage com...
Location
Location
United States , Los Angeles
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Proven experience in medical billing within a private practice setting, preferably in an Ear, Nose, and Throat specialty
  • Strong ability to review and verify coding and charge data for accuracy and completeness
  • Familiarity with out-of-network and concierge billing models
  • Experience supporting multi-specialty healthcare providers
  • Excellent written and verbal communication skills
  • Prior experience with billing in internal medicine, cardiology, or similar specialties is preferred
  • Hands-on experience with medical billing software, particularly Kareo/Tebra and eClinicalWorks
  • Knowledge of medical claims processing and collections procedures
Job Responsibility
Job Responsibility
  • Manage the full cycle of medical billing processes, including claim submissions, payer follow-ups, payment resolutions, and collections
  • Review and ensure the accuracy of coding and charges for services provided by multi-specialty healthcare providers
  • Conduct quality assurance checks and audits of billing tasks performed by team members
  • Handle out-of-network billing and provide support for concierge-model practices
  • Investigate and resolve unpaid, denied, or underpaid claims to minimize accounts receivable backlog
  • Assist with collections and reimbursement strategies to optimize revenue
  • Maintain detailed and accurate billing records, including comprehensive account documentation
  • Ensure compliance with payer policies, industry standards, and internal workflows
  • Utilize systems such as Kareo/Tebra and eClinicalWorks effectively to streamline billing operations
What we offer
What we offer
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan
Read More
Arrow Right
New

Apprentice Early Years Educator

Want to turn your passion for children into a career? Join us as an apprentice a...
Location
Location
United Kingdom , Ilkeston
Salary
Salary:
8.00 GBP / Hour
jobs.360resourcing.co.uk Logo
360 Resourcing Solutions
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Right to work in the United Kingdom
  • Completion of a Keeping Children Safe Form
  • DBS
  • At least 2 satisfactory employment references
  • Some roles may also require a 5-year employment history
Job Responsibility
Job Responsibility
  • Work as part of the Childcare Team to provide an amazing service, for both our children and families
  • Ensure the children’s environment and your nursery is kept safe, secure and clean at all times
  • Be a role model for the children at all times
  • Work towards your qualification in childcare, ensuring all targets are met and you are always up to date with any assigned coursework
  • Assist in the thorough planning and successful delivery of a variety of activities (both indoor and outdoor) to maintain the children’s interests and to ensure the development of all children in-line with their own needs
  • Establish and maintain friendly but professional relationships with all parents, staff and suppliers
  • Attend all staff events including parents evening, staff meetings, summer fairs and training – some of these may be out of working hours and on weekends
What we offer
What we offer
  • 30% off childcare at Cherubs Nurseries
  • Long-service awards for 5+ years service
  • Annual Me Day after 1 year’s service
  • Free healthy lunch, made by our Nursery Chef
  • Opportunity to apply for an ISIC - International Student Identity Card
  • Parttime
Read More
Arrow Right
New

Health and Wellness Sales Advisor

As a Health and Wellness Sales Advisor, you’ll combine expert product knowledge ...
Location
Location
United Kingdom , Glasgow
Salary
Salary:
13.56 - 15.59 GBP / Hour
boots.com Logo
Boots
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Enthusiasm and passion for all things health and wellness
  • A warm, approachable manner and confident to start conversations with customers
  • Able to put customers at ease so they feel comfortable to share their healthcare needs which may be sensitive or graphic
  • Self-motivated, sales-driven and focused on delivering a great customer experience
  • A team player that loves to contribute to the team and store's success
  • Digitally savvy and comfortable embracing technology and the omni-channel offering
  • Proactive in your approach to learning about new products and services, helping to deliver a seamless and holistic health and wellness experience
  • Prepared to complete a Healthcare Training Programme (NVQ2)
  • No previous experience required & full training will be provided
Job Responsibility
Job Responsibility
  • Support all health and wellness brands, giving expert, unbiased advice
  • Use open questions to understand customer needs and offer holistic healthcare solutions and products
  • Refer to the dispensary or pharmacist where needed
  • Use sales and communication skills every day to connect with customers
  • Keep shelves well stocked, cleaned and tidied
What we offer
What we offer
  • Boots Retirement Savings Plan
  • Discretionary annual bonus
  • Generous employee discounts
  • Enhanced maternity/paternity/adoption leave pay and gift card for anyone expecting or adopting a child
  • Flexible benefits scheme
  • Access to free, 24/7 counselling and support through TELUS Health
  • Fulltime
Read More
Arrow Right
New

Dispensing Optician

Location
Location
United Kingdom , East Kilbride
Salary
Salary:
Not provided
boots.com Logo
Boots
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Registered with the General Optical Council (GOC)
  • Passion for your own learning and development, completing all CPD training as part of the GOC requirement.
Job Responsibility
Job Responsibility
  • Providing clinical support in store for regulated dispensing
  • Inspiring your Optical team by sharing your knowledge to offer the very best service
  • Listening to the needs of customers and offer expertise and advice
  • Helping our customers to choose the correct eyewear and offer guidance to ensure our customers receive the best product suited to their needs
  • Supporting the team to deliver an efficient model day and operational processes to ensure that the business trades legally
  • Providing expert knowledge for patients with more specialist requirements.
What we offer
What we offer
  • Boots Retirement Savings Plan
  • Discretionary annual bonus
  • Generous employee discounts
  • Enhanced maternity/paternity/adoption leave pay and gift card for anyone expecting or adopting a child
  • Flexible benefits scheme including option to buy additional holiday, discounted gym membership, life assurance, activity passes and much more
  • Access to free, 24/7 counselling and support through TELUS Health, our Employee Assistance Programme.
  • Parttime
Read More
Arrow Right
New

Part Time Class 2 Hgv Driver

As a Class 2 HGV Driver at Paul Rigby Ltd, you will be responsible for the safe ...
Location
Location
United Kingdom , Birmingham
Salary
Salary:
14.34 GBP / Hour
jobs.360resourcing.co.uk Logo
360 Resourcing Solutions
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Valid Class 2 HGV driving licence with a clean driving record
  • Previous experience driving Class 2 vehicles, preferably within the Automotive & Driving sector
  • Knowledge of local routes and traffic patterns in Birmingham and the West Midlands
  • Good time management skills and the ability to work independently
  • Basic literacy and numeracy skills to manage delivery documentation
  • Good physical fitness to handle loading and unloading duties
  • A strong commitment to safety and customer service
Job Responsibility
Job Responsibility
  • Operate Class 2 Heavy Goods Vehicles safely and responsibly in compliance with all relevant regulations and company policies
  • Load and unload goods, ensuring cargo is secured correctly and handled with care
  • Plan and follow efficient routes to meet delivery schedules within the Birmingham and West Midlands area
  • Carry out daily vehicle inspections and report any maintenance or safety issues promptly
  • Maintain accurate delivery records and paperwork as required
  • Communicate effectively with dispatchers, warehouse staff, and customers to ensure smooth operations
  • Adhere to all health and safety guidelines, including COVID-19 protocols as applicable
What we offer
What we offer
  • Competitive hourly wage of £14.34
  • Permanent, full-time employment with a reputable company
  • Opportunities for training and career development within the automotive industry
  • Supportive work environment with a focus on safety and wellbeing
  • Holiday entitlement and statutory benefits in line with UK employment law
  • Fulltime
Read More
Arrow Right
New

Product Manager Associate

As the largest pureplay adhesives company in the world, H.B. Fuller’s (NYSE: FUL...
Location
Location
United States
Salary
Salary:
72000.00 - 93000.00 USD / Year
hbfuller.com Logo
H.B. Fuller
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • At least 2 years of experience in a product management, commercial, marketing or communications type of role in a business or agency environment.
  • Bachelors or University degree preferred OR Associates degree with at least 4 years of related work experience in a product management, commercial, marketing or communications type of role in a business or agency environment.
  • Ability to apply and interpret standard database and spreadsheet information
  • Strong collaboration and relationship-building skills
  • Ability to make sound decisions in complex situations to drive profitable growth while balancing limited resources across the organization
  • Demonstrated ability to quickly prioritize and operate in a flexible, dynamic environment, with a strong desire to learn new skills and business functions
  • Strong project management and organizational abilities
  • Ability to consolidate and present data in meaningful formats
  • Must be willing and able to travel up to 10% domestically, as applicable
Job Responsibility
Job Responsibility
  • Assists with new product setups in SAP, including gathering prerequisites and tracking progress
  • Collaborates with the Supply Chain team to create stock transfer orders to support commercial activities
  • Supports product sampling by coordinating requests from the Commercial team and leading sample restocking for the EPower segment
  • Assists with commercial quotes and transfer price requests by providing costing, shipping, and other required information for the EPower, Clean Energy, and Electronics segments
  • Supports product line consolidation and substitution projects
  • Leads tactical profitability initiatives for the EPower and Clean Energy markets, including cost and margin reviews and pricing adjustments
  • Builds strong technical and commercial relationships with stakeholders to support product management efforts, including data clean-up, process optimization, margin enhancement, digital customer experience, and innovation projects
  • Manages the integration of product strategies into internal systems
  • Participates in the Stage-Gate process for the EPower and Clean Energy segments
What we offer
What we offer
  • comprehensive benefits
  • incentive and recognitions programs
  • health & wellness benefits
  • 401K contributions
  • paid time off
  • paid holidays
  • Fulltime
Read More
Arrow Right
New

Payroll and Finance Administrator

Our client is a leading provider of specialist care services across the UK, supp...
Location
Location
United Kingdom , Altrincham
Salary
Salary:
28000.00 - 32000.00 GBP / Year
jobs.360resourcing.co.uk Logo
360 Resourcing Solutions
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Payroll experience working in a staff heavy business, with hourly paid and shift based work is essential
  • Strong knowledge of UK payroll legislation, tax, NI, statutory payments, and pensions
  • Confident using payroll systems and Excel
  • Highly organised, methodical and process driven with the ability to manage deadlines
  • Ability to balance strong numerical accuracy and attention to detail with sound communication skills
Job Responsibility
Job Responsibility
  • Deliver accurate, end-to-end monthly payroll processing for over 300 employees, including RTI submissions
  • Support with system and process improvement to enable the payroll function to scale with the business as employee numbers grow
  • Assist with PAYE/NIC reconciliations
  • Work closely with Operations to ensure accuracy with timesheets, overtime, and enhancements
  • Collaborating with HR to ensure all starters, leavers, and contractual changes information is accurate and timely
  • Mange pension auto-enrolment and uploads
  • Maintain accurate payroll records and audit trails
  • Support with payroll reconciliations to the general ledger
  • Assist with year-end processes (P60s, P11Ds where applicable)
  • Support purchase ledger processing and procurement when required
  • Fulltime
Read More
Arrow Right
New

Service Engineer - Electrical (Trainee)

Global Fire and Security Systems are an independent company established in Notti...
Location
Location
United Kingdom , Nottingham
Salary
Salary:
Not provided
jobs.360resourcing.co.uk Logo
360 Resourcing Solutions
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • An interest in fire safety systems
  • Good problem-solving skills and attention to detail
  • Willingness to learn and develop technical knowledge
  • Full UK driving licence
  • Good communication skills
Job Responsibility
Job Responsibility
  • Assist in undertaking electrical works in a safe and efficient manner, including basic repairs and maintenance tasks
  • Support the completion of planned preventative maintenance in line with scheduled dates
  • Help ensure all equipment and services are maintained in a safe condition, complying with Health & Safety standards
  • Participate in routine inspections and preventative maintenance programmes, accurately recording findings
  • Maintain clear and accurate logs of inspection reports and remedial work
  • Develop an understanding of statutory regulations and safety procedures, applying them in daily tasks
  • Assist with electrical repairs and installations under supervision
  • Report any defects or issues identified during service visits
  • Carry out assigned works as directed by senior engineers or supervisors
  • Support vehicle stock control and ensure materials are managed effectively
What we offer
What we offer
  • Supportive and professional team environment
  • Opportunities for training and career development
  • Employee social and engagement initiatives
  • Employee referral scheme
  • Van/Fuel Card/Uniform
  • Employee referral scheme
  • The chance to be part of a reputable company in the fire and security industry
  • Fulltime
Read More
Arrow Right