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DHL (Deutsche Post)
Memphis, TN, United States
Consumer start-up in TN Quality Assurance Supervisor (US-N) Would you like to join the Logistics Company for the World? DHL Supply Chain is just that. Become an essential part of everyday life, by contributing to an organization that is Connecting People and Improving Lives. If you have a passion for people, a desire to problem-solve, and eagerness
Job Source: DHL (Deutsche Post)Vaco
Memphis, TN, United States
About the job Employer Industry: Manufacturing Locations being offered for this opportunity: Memphis, TN Why Consider This Job Opportunity Competitive Base Pay Health benefits, including 401K and HSA Steady Monday-Friday schedule with PTO and holiday schedule What To Expect (Job Responsibilities) Promotes a culture of
Job Source: VacoCareerBuilder
Marion, AR, United States
If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Quality Assurance Engineer Full-time Regular Arkansas, Marion, AR, US 7 days ago Requisition ID: 1277 Hino Motors Manufacturing is an OEM that assembles trucks in West Virginia, automotive c
Job Source: CareerBuilderC.H. Robinson Worldwide
Memphis, TN, United States
Quality Assurance Manager page is loaded Quality Assurance Manager Apply locations Memphis, TN Atlanta, GA Minneapolis, MN Phoenix, AZ Chicago, IL time type Full time posted on Posted Yesterday job requisition id R38468 C.H. Robinson is seeking a Quality Assurance Manager to steer the quality vision
Job Source: C.H. Robinson WorldwideHino Motors MFG USA, Inc.
Marion, AR, United States
Hino Motors Manufacturing is an OEM that assembles trucks in West Virginia, automotive components in Arkansas, and operates a parts distribution center in California. We are currently seeking a full-time QA Manager for our manufacturing facility located in Marion, Arkansas reporting directly to the Quality AGM. The QA Manager is responsible for le
Job Source: Hino Motors MFG USA, Inc.Kenco Group
Olive Branch, MS, United States
About the Position The Quality Assurance Lead is responsible for acting as a coach and trainer of Quality Assurance Coordinators. The job coaches and trains teammates to fulfill their individual daily tasks in addition to their own. The Lead may have various responsibilities based on the specific department, this can include, but is not limited to
Job Source: Kenco GroupHino Motors MFG USA, Inc.
Marion, AR, United States
Hino Motors Manufacturing is an OEM that assembles trucks in West Virginia, automotive components in Arkansas, and operates a parts distribution center in California. We are currently seeking a full-time QA Engineer for our manufacturing facility located in Marion, Arkansas reporting directly to the Quality Manager. This position is responsible fo
Job Source: Hino Motors MFG USA, Inc.Premier Staffing Solution
Marion, AR, United States
We are currently seeking a full-time QA Engineer for our clients manufacturing facility located in Marion, Arkansas reporting directly to the Quality Manager. This position is responsible for supporting the client in achieving the required quality performance targets for internal and external parts supplied to our customer. QE will monitor and anal
Job Source: Premier Staffing SolutionMemphis, TN, United States
Summary
Quality Assurance Analysts evaluate the adequacy and effectiveness of internal and operational controls designed to ensure that processes and practices lead to appropriate adjudication of claims. This role requires thorough understanding of regulatory requirements, managed care contract terms, facility-specific internal guidelines, revenue integrity, billing, cash applications, payment variances and adjustment processing including federal and state regulations and guidelines.
Responsibilities
+ Conduct audits to determine organizational integrity of upstream, midstream and downstream revenue cycle activities that impact the adjustment processing of claims.
+ Conducts risk assessments to define audit priorities by evaluating previous audit findings, management priorities and current volumes of adjustments.
+ Complete special AR projects to help liquidate key segments of Baptist aging AR
+ Review all timely filing adjustments to determine whether Baptist has exhausted all attempts to appeal and overturn timely filing denials.
+ Communicate audit results to hospital service departments and departmental leadership, and make recommendations for management corrective action.
+ Serve as institutional subject matter experts and authoritative resources on interpretation of contract language to ensure appropriate reimbursement by insurance companies.
+ Performs scheduled and unscheduled independent audits of revenue integrity and business office activities.
+ Conducts routine retrospective and prospective account audits as directed by revenue cycle system director.
+ Assess internal and external communication of changes to better communicate across functional departments
+ Adheres to the defined audit timeline and audit protocol standards; assists with development of the audit schedule; identifies services to be audited.
+ Annually identifies specific needs for self-development and implements a plan to achieve professional growth.
+ Applies consistent and standardized compliance audit methodology for sample selection, scoring and benchmarking, development and reporting of findings and repayment calculations.
+ Prepares written reports of audit findings and recommendations and presents to specific business offices; evaluates the adequacy of management corrective action to improve deficiencies; maintains audit records
+ Participates in the development of the department long-term and short-term goals, objectives plans, policies and procedures.
Requirements, Preferences and Experience
Education
Preferred: Associates Degree related to health care or information technology
Minimum: High school diploma or equivalent
Experience
Minimum: 2 years of experience in the healthcare industry with a working knowledge of hospital or physicians revenue cycle functions.
Training
Preferred: Detailed knowledge of revenue cycle work streams and revenue flow; Revenue cycle process management; Moderate systems expertise; Moderate experience with facility and professional billing requirements
Minimum: Understanding of industry-specific terminology; Managed Care policy manuals and contractual expected reimbursement
About Baptist Memorial Health Care
At Baptist, we owe our success to our colleagues, who have both technical expertise and a compassionate attitude. Every day they carry out Christ's three-fold ministry-healing, preaching and teaching. And, we reward their efforts with compensation and benefits packages that are highly competitive in the Mid-South health care community. For two consecutive years, Baptist has won a Best in Benefits award for offering the best benefit plans compared with their peer groups. Winners are chosen based on plan designs, premiums and the results of a Benefits Benchmarking Survey.
At Baptist, We Offer:
+ Competitive salaries
+ Paid vacation/time off
+ Continuing education opportunities
+ Generous retirement plan
+ Health insurance, including dental and vision
+ Sick leave
+ Service awards
+ Free parking
+ Short-term disability
+ Life insurance
+ Health care and dependent care spending accounts
+ Education assistance/continuing education
+ Employee referral program
Job Summary:
Position: 13173 - Analyst-Quality Assurance
Facility: BMH - Central Business Office
Department: HS Denial Mitigation Corporate
Category: Finance and Accounting
Type: Non Clinical
Work Type: Full Time
Work Schedule: Days
Location: US:TN:Memphis
Located in the Memphis metro area REQNUMBER: 20713
Analyst-Quality Assurance jobs in Memphis, TN, United States
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