RCM System & Automation QA Manager ensuring quality across automation initiatives for Revenue Cycle Management. Collaborating with IT and operations to improve workflow efficiency and compliance.
Responsibilities
Ensure the quality of system improvements and automation initiatives for RCM operations.
Completes and monitors systems QA and automation activities to ensure alignment with company standards.
Completes and oversees QA testing of internal systems to ensure functionality, accuracy and regulatory compliance.
Continually QA automation activities to ensure compliance with NSM requirements and payer standards.
Partners with IT and developers to test and implement automation and process improvement projects.
Analyze system QA data to identify trends, root causes, and opportunities for improvement in existing systems.
Establish, document, and maintain protocols, test plans, and audit records.
Prepare and present detailed QA systems reports with actionable insights for leadership review.
Monitor automation performance post-deployment and coordinate resolution of system issues.
Coordinates with training and communication teams to support new system functionality and automation tools.
Review findings of QA on new and existing system enhancements and automation with RCM leadership to strengthen process understanding and performance consistency.
Foster a culture of continuous improvement, quality awareness and accountability.
Serve as a liaison between RCM, IT, Compliance, Training, and Operations to ensure cross-departmental alignment.
Support development and adherence to policies, procedures and payer regulations.
Participate in strategic planning discussions related to technology, quality, and operational excellence.
Requirements
High School Diploma or G.E.D. Required
College Degree Preferred
Drug Test
Knowledge of government payer regulations desired
Extensive working knowledge of Funding, Billing and Collections for Medicare, Medicaid and Commercial payers
Good oral, written and communication skills
Working knowledge of Microsoft suite products
Proven record of excellent people skills including good communication and inter-personal skills
Strong Team Player
Strong organizational skills and attention to detail
Ability to effectively present information and respond to questions from a variety of staff
Basic understanding of and willingness to learn and adopt professional and industry business standards/needs.
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