Is this position right for you?

Crossroads Health is seeking a healthcare credit balance expert to structure and execute a company-wide Quality Control program. If you are a consistent top performer that enjoys exceeding goals, building processes, helping others, and has a ridiculous eye for detail, then this may be just the position for you!

• Structure a Quality Control program to address quality needs throughout the organization.
• Develop, implement, and maintain quality control protocols that ensure ongoing compliance with both client contracts and all applicable regulations.
• Establish, monitor, and maintain approved Quality KPIs for Crossroads Health analysts.
• Review analyst performance and identify areas for improvement or correction.
• Document all learning and retraining needs, referring to appropriate contact for re-training.
• Review any required re-work to confirm quality.
• Work with management team to ensure successful transition to live production, including proctoring assessments to trainees and auditing ramp up.
• Recommend, implement, and monitor preventative and corrective actions to ensure that quality assurance standards are achieved.
• Design and provide both scheduled and ad-hoc reporting on Quality Metrics to Crossroads Health management. Reporting includes (but is not limited to) company-wide, team-specific, provider-specific, and individual.
• Investigate client complaints, concerns, and error notices regarding quality and respond to appropriate internal contact.
• Maintain constant communication with management, staff, and (where applicable) clients to ensure proper operations of the organization.
• Update job knowledge by participating in educational opportunities, reading technical publications, watching industry videos, etc.
• Work with Development Team to continuously improve the internal quality control applications.
• Other responsibilities as assigned.

MINIMUM REQUIREMENTS/QUALIFICATIONS:

• Significant Healthcare Credit Balance Resolution or Revenue Cycle/AR Experience.
• Experience working within multiple EHRs (for example: EPIC, Cerner, Meditech, etc.).
• Ability to analyze processes and information, identify problems and trends, and develop effective solutions and strategies.
• Ability to promote a company culture that encourages top performance and high morale.
• Ability to work with minimal supervision with strong time management and organizational skills.
• Proficiency in Microsoft Office (Word, Excel, Outlook).
• Ability to read, analyze, and interpret hospital medical bills, records, statutes, contracts, and other relevant documents.
• Understanding of medical terminology for billing and account resolution.
• Commitment to providing exceptional service to clients and support to staff members.
• Ability to perform critical work under deadlines.
• Ability to work in a changing environment and handle multiple tasks.
• High school diploma / GED (or higher).
• Ability to travel occasionally (<10%), locally and nationally.
• A focused, organized, and detail-oriented approach to work.
• Excellent verbal, non-verbal, indirect, and direct communication skills.
• Ability to pass a thorough background check and drug screen.

PREFERRED (NOT REQUIRED):

• Bachelor’s degree.
• 1+ years proven experience in a quality control position.
• 5+ years Credit Balance Resolution experience.
• Significant experience resolving credit balances within multiple EHRs.

WORK ENVIRONMENT:

Extended periods of sitting at a computer and use of hands/fingers across keyboard or mouse, speaking, listening using a phone/headset, daily collaboration, and meetings via video conference.

ABOUT CROSSROADS HEALTH:

Crossroads Health is a fast-growing revenue cycle company exclusively serving hospitals and healthcare providers. Our mission is to identify, analyze, and resolve EVERY CREDIT BALANCE to help healthcare PROVIDERS realize more revenue, meet compliance obligations, and limit future credits.

COMPENSATION & BENEFITS:

Full-time. Benefits package including 401k, and Health, Vision, & Dental insurance. Pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills and experience. Paid vacation, and paid holidays. Plenty of growth opportunities for friendly, focused, results-driven people.

Crossroads Health is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, sex, marital status, sexual orientation, physical or mental disability, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. Final job level of placement, job title or position, and job description may vary.