PFS Quality Control Analyst

Ambry Genetics Aliso Viejo , CA 92698

Posted 6 days ago

The Patient Financial Services (PFS) Quality Control Analyst supports the quality assurance activities related to the billing and collections processes. The PFS Quality Control Analyst will work with both Patient Financial Services management and staff to perform front-to-end quality audits to ensure accurate billing and adherence to both Standard Operating Procedures and trained protocols. The PFS Quality Control Analyst will also assist with tracking and trending Quality Assurance review data and provide input regarding policy and procedure improvement.

Position Duties and Responsibilities:

  • Assist in the development of Quality Assurance scorecards to be used for front-to-end audits of complete billing, coding, collections, cash posting and other related functions within the Patient Financial Services department

  • Conduct monthly audits to provide quality assessments to PFS management

  • Assist in periodic compliance audits to ensure correct billing practices

  • Develop reports to identify and help manage areas of improvement within the revenue cycle

  • Coordinates with PFS Managers and training team to ensure that all quality standards are communicated and up-to-date based on approved Standard Operating Procedures

  • Demonstrate subject matter expertise in one or more revenue cycle functions (Insurance Verification, Authorization,

  • Patient collections, Collections, etc.) as well as high attention to detail to be used in the evaluation of quality adherence

  • Assists in the validation of billing software and practices to ensure quality standards are met

  • Other projects as assigned

Position Requirements:

  • 1+ years' experience in a medical billing or related role

  • Experience in Quality Assurance or Auditing a plus

  • High school diploma or equivalent, college degree a plus or equivalent experience

  • Knowledge of CPT/HCPCS codes, medical terminology, insurances, claims processing preferred

  • Experience with Microsoft Office programs a plus (Excel, Outlook, Word, and PowerPoint)

  • Must have excellent computer skills

  • Must understand the full revenue cycle process, with specialized understanding of one or more RCM functions

  • Must have excellent investigative and researching skills

  • Must be able to multi-task

  • Must be analytical, detailed-oriented and organized

  • Must be able to meet deadlines in a timely manner

  • Must be very tech-savvy and able to learn new systems and processes quickly and effectively

Location and Shift Schedule:

  • This position is required to be onsite at our Headquarters located in Aliso Viejo, CA during normal business hours Monday
  • Friday 8am

  • 4:30pm PST.

  • Schedule may very including occasional weekends, evenings, and overtime, depending on business needs.

AMB123

About Us:

Ambry Genetics Corporation is a CAP-accredited and CLIA-licensed molecular genetics laboratory based in Aliso Viejo, California. We are a genetics-based healthcare company that is dedicated to open scientific exchange so we can work together to understand and treat all human disease faster.

At Ambry, everyone is welcome. A career at Ambry Genetics is a chance to be part of a dynamic company that aims to improve health by understanding the relationships between genetics and human disease. We earned our reputation as industry leaders by responsibly introducing cutting-edge genetic testing solutions and continually sharing what we learn with the global scientific community. We also support those with genetic conditions through the Mauli Ola Foundation and other nonprofit organizations. At Ambry you will be learning, challenging yourself, and having fun while collaborating with teammates through the open exchange of ideas.

Employees at Ambry Genetics have many perks, including an onsite caf with complimentary smoothies and infused waters! We also offer access to gym memberships, onsite food trucks, "Lunch and Learns," Pajama Days, Chili Cook-Offs and more. Our outstanding benefits program includes medical, dental, vision, 401k, FSA, generous paid time off (PTO) program, and flexible scheduling as determined appropriate. Ambry Genetics is an Equal Opportunity Employer (EOE) and we maintain a drug-free work environment.

Ambry Genetics is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.


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PFS Quality Control Analyst

Ambry Genetics