Clinical Data Management Professional

6 days ago

Mabalacat, Central Luzon, Philippines beBeeDataEntry Full time $55,000 - $75,000
Job Description

We are seeking a detail-oriented professional to fill the role of Pre-Bill Quality Assurance Specialist.

  • The selected candidate will be responsible for ensuring the accuracy and integrity of patient demographic data and charge entry within the healthcare system.
Key Responsibilities:
  • Data Entry:
    • Input patient demographic information into the healthcare database system accurately.
    • Enter charges for medical services rendered by healthcare providers according to established procedures and coding standards.
    • Ensure timely completion of data entry tasks to support billing processes and reimbursement.
  • Quality Assurance:
    • Conduct thorough quality checks on demographic data and charge entry to identify discrepancies, errors, or inconsistencies.
    • Verify the accuracy of patient information, including insurance details, contact information, and medical history.
    • Review charge entries for completeness, accuracy, and compliance with coding guidelines and billing regulations.
  • Documentation and Reporting:
    • Maintain detailed documentation of data entry and quality assurance activities.
    • Generate reports on data entry accuracy, charge entry errors, and quality assurance findings.
    • Communicate findings to relevant stakeholders, including billing managers, healthcare providers, and administrative staff.
  • Compliance and Regulation:
    • Stay updated on healthcare regulations, coding standards, and billing requirements.
    • Ensure compliance with HIPAA regulations and other data protection laws in handling patient information.
    • Implement best practices for data entry and charge entry to minimize errors and mitigate compliance risks.
  • Collaboration and Communication:
    • Collaborate with other healthcare administrative staff to resolve data discrepancies and address billing issues.
    • Communicate effectively with billing teams, coding specialists, and healthcare providers to ensure accurate and timely billing processes.
    • Provide support and guidance to colleagues on data entry procedures and quality assurance standards.

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