Senior Manager of Quality Assurance
3 days ago
Med Metrix is a leading provider of innovative healthcare solutions. We are seeking a highly skilled Senior Manager, Quality RCM to lead our Accounts Receivable (AR) department's quality assurance efforts.
Job DescriptionThe successful candidate will be responsible for developing and implementing a comprehensive quality assurance program for accounts receivable in forensic healthcare. This includes ensuring accurate billing, identifying compliance risks, managing quality audits, and driving improvement initiatives.
The ideal candidate has extensive knowledge of forensic healthcare compliance standards, including HIPAA, FCRA, and healthcare AR best practices. Strong analytical skills, attention to detail, and experience with healthcare regulatory requirements are also essential.
This role requires strong leadership and communication skills, as well as the ability to present complex information clearly. The candidate must be able to work collaboratively with revenue cycle, finance, compliance, and legal teams to address quality concerns and share best practices.
- Quality Assurance Leadership: Develop and implement a comprehensive quality assurance program for accounts receivable in forensic healthcare.
- Compliance and Risk Management: Ensure that all AR processes comply with regulatory standards, conduct regular audits, and verify compliance with internal and external standards.
- AR Process Oversight and Improvement: Review, analyze, and optimize AR processes for forensic healthcare accounts, focusing on error reduction and improving cash flow.
Required Skills and Qualifications:
- 8+ years of experience in accounts receivable, revenue cycle management, or forensic healthcare, with a minimum of 5 years in a quality assurance leadership role.
- Proven experience managing AR processes within a forensic healthcare setting or similar regulated environment.
- Strong knowledge of forensic healthcare compliance standards, including HIPAA, FCRA, and healthcare AR best practices.
- Demonstrated ability to lead audits, analyze complex data, and provide actionable recommendations.
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