* Implementing quality assurance policies and procedures to ensure compliance with regulatory standards and best practices.* Analyzing data to identify trends and areas for improvement.* Collaborating with healthcare providers and staff to address quality issues, and ensuring adherence to patient safety protocols.* Developing job aids to educate partners on protocols and procedures.* Collaborate with staff across platforms to improve workflow to stay within SLA.

* Reviewing patient medical records to accurately assign diagnostic and procedural codes.* Submitting claims to insurance companies or government programs for reimbursement.* Verifying patients' insurance coverage and eligibility for services.* Following up on unpaid or denied claims and resubmitting as necessary.* Handling inquiries and resolving issues related to billing and insurance.* Maintaining patient confidentiality and adhering to privacy regulations.* Keeping up-to-date with changes in billing and coding regulations and procedures.* Collaborating with healthcare providers and administrative staff to ensure accurate billing and reimbursement.* Generating reports and providing data analysis to support financial decision-making.