• Job Description

  Req#: 24-00348
  Revenue Cycle Quality Assurance Specialist (Remote)
  
  SimiTree has an opening for a Quality Assurance Specialist in the Revenue Cycle Management department, focusing on the post acute industry. This is a fully remote position that can be based anywhere within the United States.The Quality Assurance Specialist will perform quality assurance reviews of Revenue Cycle Management (RCM) accounts. Quality Assurance Specialists will also be responsible for reviewing various deliverables at the account level to ensure standard and comprehensive notes are entered before being sent to clients. The QA Specialist will conduct quality assurance checks on claims weekly, identify any trends or training opportunities for the team. The goal of this role is to ensure SimiTree's RCM team is producing and maintaining quality work. The QA Specialist must have experience with revenue cycle management within the post-acute industry, including home health, hospice, or skilled nursing facility RCM.
  
  About SimiTree
  SimiTree provides client-centric services to home health, hospice, private duty, pediatrics, applied behavioral analysis, palliative care, and other post-acute organizations. Our organization is made up of clinical, operational, and revenue cycle experts who support our clients. SimiTree has developed a full suite of custom-designed services focusing on areas critical to quality improvement, operational efficiency, accurate reimbursement, and regulatory compliance.
  
  To provide our clients with an opportunity to focus on core operations, SimiTree provides outsourcing services for Coding and OASIS reviews, Billing and Collections, and full Revenue Cycle services. SimiTree's client base ranges from small, community-based agencies to publicly traded national chains. We have both the technical expertise and the real-world experience to implement seamless solutions that assist agencies in a rapidly changing operational and regulatory environment.
  
  Primary Responsibilities:
  • Conduct quality assurance checks on RCM claims.
  • Examine documentation and perform comprehensive reviews.
  • Document quality assurance findings and trends to leadership.
  • Analyze trends and identify training opportunities.
  
  
  Qualifications:
  • 5+ years of post-acute healthcare revenue cycle experience
  • Experience with Home Health/Hospice/ or other post-acute EMR systems
  • Excellent customer service.
  • Strong analytic and problem-solving skills.
  • High school diploma or equivalent
  
  
  Education Requirements:
  High School Diploma or equivalent.
  
  Salary range/ Benefits:
  $50,000- $65,000
  The compensation scale listed is a general salary range and is not intended to represent the actual annual or hourly compensation rate for this role. An offer will be made to the selected candidate at the conclusion of the interview process based on their relevant experience and the responsibilities of the position. SimiTree offers a competitive compensation package including health, vision, and dental insurance, PTO, retirement plans (401K), holiday paid time off, life insurance, sick time, and opportunities for professional development.
  
  
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• About the company

  SimiTree Healthcare Consulting unites former Simione and BlackTree experts, services, and approaches to help post-acute organizations raise performance levels and realize revenue potential in a complex market. SimiTree's services include Consulting, Mergers & Acquistions, Talent Solutions, Data Analytics, and Outsourced Services for home health, hospice, and palliative industries.

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