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FedEx Logistics
Memphis, TN, United States
Shift Hours 1st shift Monday-Thursday 8am-6:30pm 3955 E. Holmes Rd. Memphis, TN 38118 About FedEx Supply Chain FedEx Supply Chain, a subsidiary of FedEx Corp. (NYSE: FDX), is a leader in the third-party logistics industry offering a diverse service portfolio that enables commerce for businesses. With a proven track record of innovation and op
Job Source: FedEx LogisticsFedEx Logistics
Memphis
**SHIFT HOURS** **2nd shift** **Monday-Friday 2pm-10:30pm** **3955 E. Holmes Rd.** **Memphis, TN 38118** **About FedEx Supply Chain** FedEx Supply Chain, a subsidiary of FedEx Corp. (NYSE: FDX), is a leader in the third-party logistics industry offering a diverse service portfolio that enables commerce for businesses. With a proven track record of
Job Source: FedEx LogisticsPremier 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 SolutionMeridian Bioscience
Memphis, TN, United States
About Meridian Meridian Bioscience is a fully integrated life science company that develops, manufactures, markets and distributes a broad range of innovative diagnostic products. We are dedicated to developing and delivering better solutions that give answers with speed, accuracy and simplicity that are redefining the possibilities of life from d
Job Source: Meridian BioscienceHino 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.TRC Talent Solutions
Memphis, TN, United States
Join Our Team as a Quality Assurance Manager in Aerospace Manufacturing Location : Memphis, TN | Position : Full-Time, On-Site | Industry : Aerospace Manufacturing About Us: We are a leader in the aerospace manufacturing industry, specializing in integrated military aircraft parts and assemblies. Our clients include major OEM aerospace contracto
Job Source: TRC Talent SolutionsKelly Services
Memphis
**Quality Assurance Technician – Memphis, TN** Kelly Project Services, a managed solution provider and business unit of Kelly Services, Inc., is currently seeking a **Quality Assurance Technician** for a long-term engagement at one of our Global clients in **Memphis, TN.** This role is a full-time, fully benefitted position. As a Kelly Project Serv
Job Source: Kelly ServicesFedEx Logistics
Memphis
**Shift Hours** **3rd shift** **Sunday-Thursday 10pm-6:30am** **3955 E. Holmes Rd.** **Memphis, TN 38118** **About FedEx Supply Chain** FedEx Supply Chain, a subsidiary of FedEx Corp. (NYSE: FDX), is a leader in the third-party logistics industry offering a diverse service portfolio that enables commerce for businesses. With a proven track record o
Job Source: FedEx LogisticsMemphis, 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
Email Alert for Analyst-Quality Assurance jobs in Memphis, TN, United States
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