Medical Claims

LHH Recruitment Solutions is seeking a Document Quality Assurance Representative for a full-time, contract to hire position in Cordova, TN. This is a great opportunity with an organization who is seeking an experienced candidate to start immediately! The anticipated pay rate range for this position is between $19 and $20.
Responsibilities:

• Ensuring that information and documentation required for proper billing of claims is obtained present for all billable events for an assigned area.
• Process a minimum of 45 claims/day with the routine expectation of 60-70 claims/day.
• Demonstrates knowledge, understanding and compliance of company policies and procedures.
• Demonstrates knowledge and understanding of (and compliance with) Federal, State, and local laws, rules, regulations, and guidelines as they pertain to reimbursement, collections, and compliance.
• Demonstrates complete knowledge of proper billing, coding, and posting procedures.
• Thoroughly evaluate all documentation received from Operations Personnel (example PCRs, PCSs), Dispatch Personnel (example: CAD records, call types, priorities), and external customers (example: insurance and demographic information) and ensure any shortcomings or discrepancies are addressed prior to submitting documentation and information to the billing office. Should ensure that all items listed on the DQA Key Data Point Review Sheet are reviewed, present, and accurate prior to submission.

Experience:

• Experience in Mental Health, FQHC or the underserved population
• Experience with ZOLL RescueNet is preferred but not required

Requirement:

• Complete and maintain appropriate training, certification, and licensure for their position.
• Notify DQA Manager of any lapses in documentation resulting in less than full compliance with compliance and HIPAA standards.
• Maintains security and privacy of all company and patient information at all times in accordance HIPPA and all other local, state, and federal regulations.

Hours:

• Monday -Friday (8am -5pm)
• Schedule is flexible

Benefits:

• “Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.”

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records