Specialist I, RCM QA and Learning

Are you seeking an exciting opportunity to join a passionate, growing, and dynamic team of professionals who support patients? This is a dual role in which the employee and duties are assigned based on business need in the back-end Revenue Cycle Management space. The Specialist I, QA and Learning will support the varied needs by fulfilling the dual responsibilities of Quality Assurance and Learning and Development efforts in reviewing, training and mentoring Knowtion Health employee’s work to ensure performance meets company standards. What’s Attractive to the Right Candidate? Knowtion Health is a growing firm in a growing industry. Our status as a leader in this industry means that we have the resources to invest in the business and to innovate. Our business is intensely competitive and is constantly evolving. We quickly identify new challenges and develop solutions, so you won’t simply be doing what was done last year. Our new employees are frequently pleased and surprised by how quickly we make decisions and adapt to market conditions. Knowtion Health culture is inviting and competitive, embracing challenge and celebrating accomplishment; dedicated colleagues striving to provide quality results that have lasting impact. The Opportunity: Specialist I, QA will review calls, correspondence, and database entries to ensure that each team member's performance meets Knowtion Health quality standards. The Specialist I will recommend additional training to Service Delivery when performance review indicates it is needed. Conduct routine and targeted quality audits on RCM tasks such as claim submission, denial management, account resolution, and payment posting. Perform root cause analysis on errors and recurring issues to help reduce rework and improve productivity. Prepare professional review documents analyzing each team member's verbal, written and database proficiency. Demonstrate expertise with Artiva QA review encounters and KTech IQC applications as necessary to review accounts thoroughly. Identify and communicate patterns and trends in team member work to recommend additional training to help the team members meet or exceed quality standards established by Knowtion Health. Training Facilitator- 1:1 training opportunity to impart knowledge & experience, evaluate skills, guide, mentor, direct, and train internal employees to become confident and proficient in their roles and help them achieve LOB specific certification. Administer current training material and courses. What you bring: Experience with Artiva, Box, Epic, Microsoft Word, and Excel preferred. 2 years’ experience working for Knowtion Health or RCM. Strong understanding of the full RCM back-end workflow (authorizations, coding, billing, denials, and AR follow-up). Extensive experience with claims resolution and implementation of client Standard Operating Procedures (SOPs). The above statements are intended to provide the general nature and level of work being performed by most people assigned to the position. They are not intended to be an exhaustive list of all responsibilities, duties and requirements. This position is remote and requires a dedicated, distraction-free work space at home. We offer a competitive benefits package including medical, dental, vision, life insurance, short term disability, long term disability, paid holidays, 401k, and a generous PTO policy. Knowtion Health gives priority to applicants located in the following states: AL, AR, AZ, FL, GA, ID, IN, KS, ME, MI, MO, MS, NC, NM, OK, PA, SC, TN, TX, VA, WI, WV Photo Identification and Image Capture Notice As part of our hiring process, candidates are required to present a valid government-issued photo ID during screening and/or interviews. We may also capture a photograph during the screening or interview process for identity verification, security, and record-keeping purposes. All identification documents and images will be handled in accordance with applicable privacy laws and accessed only by authorized personnel. By proceeding with your application, you acknowledge and consent to this process.