Specialist I, QA and Learning

Role Overview

• review calls, correspondence, and database entries to ensure that each team member's performance meets Knowtion Health quality standards
• recommend additional training to Service Delivery when performance review indicates it is needed
• conduct routine and targeted quality audits on RCM tasks such as claim submission, denial management, account resolution, and payment posting
• perform root cause analysis on errors and recurring issues to help reduce rework and improve productivity
• prepare professional review documents analyzing each team member's verbal, written and database proficiency
• demonstrate expertise with Artiva QA review encounters and KTech IQC applications as necessary to review accounts thoroughly
• identify and communicate patterns and trends in team member work to recommend additional training to help the team members meet or exceed quality standards established by Knowtion Health
• provide 1:1 training opportunity to impart knowledge & experience, evaluate skills, guide, mentor, direct, and train internal employees to become confident and proficient in their roles and help them achieve LOB specific certification
• administer current training material and courses

Requirements

• 2 years experience working for Knowtion Health or RCM
• Strong understanding of the full RCM back-end workflow (authorizations, coding, billing, denials, and AR follow-up)
• Extensive experience with claims resolution and implementation of client Standard Operating Procedures (SOPs)

Benefits

• medical
• dental
• vision
• life insurance
• short term disability
• long term disability
• paid holidays
• 401k
• generous PTO policy