Healthcare Quality Control Analyst

JOB TITLE:  Healthcare Quality Control Analyst

LOCATION:  Dallas, TX

COMPANY:  ESI

 

 

CORPORATE PROFILE:

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ESI is a comprehensive, healthcare outsourcing revenue cycle management company. ESI?s philosophy is built around providing the total solution for the healthcare revenue cycle, rather than the ?service silo? approach. 

 

ESI has created core revenue cycle services and improved them through state-of-the-art technologies, robust training and competency testing programs for its personnel, and comprehensive internal quality control protocols.  This has allowed ESI to provide a significant external resource accessible to client facilities to improve their overall revenue cycle performance.

 

ESI?s business practice model enables healthcare organizations to achieve optimal revenue cycle performance.  Properly deployed, it will result in cost-predictable and sustainable improvement.  By focusing on core revenue cycle business process improvement, including procedures and personnel that are crucial to healthcare organizations? cash flow, compliance and patient satisfaction, our clients will have both immediate and long-term demand for our services that will continue to increase with the needs of the industry.

 

ESI has shown that by creating and implementing an integrated best practice business process model of outsourcing, we can achieve a level of automation and integration of revenue cycle core functions not previously seen in the healthcare financial services industry.  We have created information technology to automate manual processes that have plagued healthcare providers for decades.  Through scanning, proprietary database management and partnering with the right revenue cycle technology firms, we have created a core competency for ESI that sets us apart from our competition.  This allows our clients to focus on their priority clinical and peripheral business functions, creating higher returns internal to the operations they manage while dramatically improving performance in the service areas managed by ESI. 

 

ESI specializes in large-volume A/R reduction projects, A/R cash acceleration programs, and total revenue cycle outsourcing from beginning to end.  Services include:  scheduling, admitting and registration; recertification authorization; charge entry; case management; medical records coding; billing; collections follow-up; cash posting; denial management.

 

ESI is a privately held company with offices in Dallas and Chicago.

 

 

JOB DESCRIPTION:

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The Quality Control Analyst is responsible for developing, coordinating and implementing initial and ongoing training programs for all staff performing Admitting/Registration Services, monitoring performance, auditing and coordinating activities of all registration functions at any physical location within the hospital domain.  Additionally, this person is responsible for ensuring quality standards are set and maintained throughout all departments within the BPO. This includes auditing all account types to ensure departmental policies and procedures are followed and communicating relevant feedback to the appropriate department supervisors/managers. Finally, the Quality Control Analyst is responsible for rolling out training for new system functionality or regulatory changes, which apply to both front-end registration and back end business office staff. This person must be able to work cooperatively in a team environment.

 

Must have knowledge of Federal, State, and Commercial insurance policies and requirements as it relates to all aspects of certification, billing, collections and payment protocols.

 

Knowledge of acceptable billing and coding practices for all payer types. Demonstrates proficient PC skills: MS Excel, MS Word, and MS Outlook.  Knowledge of accessing the internet for eligibility, claims submission, imaged document retrieval and claim status.  High school diploma required, Associates Degree Preferred.

 

 

APPLICANTS:

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Send resume with salary history to:  info@esinetwork.com

Company information at www.esinetwork.com