Specialist I, QA and Learning

This is a fully remote position, open to applicants in Alabama, +18 more states.

📋 Description

• Evaluate calls, correspondence, and database entries to ensure that each team member's performance aligns with Knowtion Health quality standards.

• Suggest additional training to Service Delivery when performance assessments indicate it is necessary.

• Conduct regular and specialized quality audits on RCM tasks, including claim submission, denial management, account resolution, and payment posting.

• Execute root cause analysis on errors and recurring issues to minimize rework and enhance productivity.

• Prepare comprehensive review documents analyzing each team member's verbal, written, and database skills.

• Exhibit proficiency with Artiva QA review encounters and KTech IQC applications as needed to thoroughly review accounts.

• Identify and communicate patterns and trends in team member performance to recommend further training, assisting them in meeting or exceeding the quality standards set by Knowtion Health.

• Provide one-on-one training opportunities to share knowledge and experience, assess skills, mentor, guide, and develop internal employees to become confident and skilled in their roles, helping them achieve LOB-specific certification.

• Administer current training materials and courses.

⛳️ Requirements

• Two years of experience working with Knowtion Health or in RCM.

• Strong comprehension of the complete RCM back-end workflow (authorizations, coding, billing, denials, and AR follow-up).

• Extensive experience with claims resolution and the implementation of client Standard Operating Procedures (SOPs).

🏝️ Benefits

• Medical.

• Dental.

• Vision.

• Life insurance.

• Short-term disability.

• Long-term disability.

• Paid holidays.

• 401k.

• Generous PTO policy.