Provide resources to assist individuals and departments to define and document key processes and work instructions.<br>Review the process audit schedule and perform process audits based on review schedule.<br>Review the key quality metrics and identify trends and out of control variables.<br>Communicate quality deficiencies to the individual that is responsible for correcting the deficiency.<br>Review Batch Records and ensure completion and accuracy.<br>Perform initial investigation on corrective action requests.<br>Respond to quality issues and develop a reaction plan to the incident.<br>Communicate the status of active projects weekly with all appropriate personnel affected.<br>Manage internal and external reject areas.<br>Inspect non-conforming material with responsible team and determine disposition.<br>Perform customer and supplier quality audits.<br>Maintain regulatory compliance agreements and standards.<br>Hold weekly meetings to provide directions and resources needed.<br>Lead, coach, and mentor teams to ensure success of Quality Policy and system.<br>Follow-up with action items from projects to ensure completion of necessary tasks.
Job Summary:<br>Overall responsibility for contacting all assigned patient and insurance/third party payer accounts with a debit balance to ensure receipt and processing of claim within 45 days from the date of service. Perform appeals for underpaid claims or claim denials as assigned by the Billing Manager. Procure payment or establish payment arrangements with patients and/or guarantors in accordance with business office policies and procedures. <br>Principal Duties and Responsibilities:<br>• Works a detailed daily work queue for assigned accounts over 31 days old.<br>• Works detailed aging report as assigned for accounts over 31 days old.<br>• Audits assigned accounts for proper insurance filing. Compares posted payments to EOBs to confirm proper patient balances prior to patient collection attempts.<br>• Keeps up-to-date on vital contract information concerning assigned payers to establish proper and timely payment of claims.<br>• Determines average claim entry, processes timeframes for assigned payers, and determines the status of unpaid claims beginning from the 45th workday from the date of service.<br>• Responsible for using Replica to extract needed EOB’s or zero pay EOB’s when needed.<br> <br>• Utilizes approved appeal form letters to submit appeals in accordance with billing office policies and procedures.<br>• Forwards medical or coding denials to the QA Department for nurse review and appeal.<br>• Demands claims for secondary insurance filing and copies explanation of benefits in accordance with business office policies and procedures.<br>• Procures applicable payment from patients, or establishes payment arrangements not to exceed 120 days from the date of service.<br>• Skip traces accounts according to established practices.<br>• Reviews payment arrangement accounts that have not had regular payments in over a month.<br>• Initiates collection letters and/or statements to patients in accordance with business office policies and procedures.<br>• Responsible for neatness of work area and security of patient information in accordance with the Privacy Act of 1974 and the Health Information and Portability Act (HIPAA).<br>• Works with Manager and Compliance Committee to ensure Compliance Program is followed.<br>• Performs other duties as assigned or requested.<br>Knowledge, Skills, and Abilities:<br>• Has a working knowledge of the Fair Debt Collection Act and state and federal laws applying to collection activities.<br>• Excellent verbal and written communication skills, interpersonal skills, analytical skills, organizational skills, math skills, accurate typing and data entry skills.<br>• Ability to deal professionally, courteously, and efficiently with the public.<br>• Treat all patients, referring physicians, referring physicians’ staff, and co-workers with dignity and respect. Be polite and courteous at all times. <br>• Knowledge of all confidentiality requirements regarding patients and strict maintenance of proper confidentiality on all such information.<br>• Knowledge of medical terminology, CPT and ICD-10 coding, office ethics, and spelling.<br>• Must be computer literate.<br>• Must possess knowledge and understanding of managed care and insurance practices.<br>Education and Experience:<br>• High School graduate, technical school, or related training preferred.<br>• Accounts Receivable and collection experience.<br>• One-year work experience in a medical office or equivalent.<br><br><br> <br><br><br><br>_________________________ ____
Position: SENIOR SOFTWARE QUALITY ENGINEER - Shape the future of a Mobile-First Platform<br>Location: REMOTE<br>Salary: UP TO $125K BASE + BONUS + EXCEPTIONAL BENEFITS<br><br>*** For immediate and confidential consideration, please send a message to MEREDITH CARLE on LinkedIn or send an email to me with your resume. My email can be found on my LinkedIn page. ***<br><br>A nationally recognized company with a legacy of success is launching a bold new digital initiative—and this is your chance to be part of it from day one.<br>With full executive backing and the resources of a Fortune 500 parent, this newly formed department is building a mobile-first product from scratch. It’s a greenfield, 0-to-1 launch with a startup pace and mindset—but with the stability and funding already in place. The first MVP is on the runway, and we’re assembling a team of 20 innovators to bring it to life.<br>We’re looking for a Senior Software Quality Engineer who’s passionate about building scalable, secure, and seamless digital experiences. You’ll lead quality efforts across mobile, web, backend, and third-party integrations—ensuring every release is rock solid.<br>Why This Role Stands Out<br> • Start-up energy, enterprise support: Build fast, innovate boldly, and work with cutting-edge tools—without worrying about funding or red tape.<br> • Impact from Day One: Help define the quality strategy for a product that’s being built from the ground up.<br> • Modern tech stack: Work across Flutter, Node.js/NestJS, PostgreSQL, and integrate with CI/CD pipelines and automation frameworks.<br>What You’ll Do<br> • Design and implement end-to-end test strategies across mobile, web, backend, and integrations.<br> • Collaborate with product, engineering, and DevOps to define acceptance criteria and test plans.<br> • Develop and execute automated and manual test cases for UI, API, and workflows.<br> • Maintain and evolve automation frameworks using Cypress, Playwright, Appium, and Postman.<br> • Validate third-party integrations and ensure seamless user experiences.<br> • Integrate testing into CI/CD pipelines (GitHub Actions, GitLab CI).<br> • Manage test environments, mock servers, and test data.<br> • Track and report on quality metrics—test coverage, defect rates, release readiness.<br>What You Bring<br> • 4–6 years of experience in software quality engineering or full-stack QA.<br> • Experience testing Flutter apps (mobile and web).<br> • Strong skills in testing Node.js/NestJS APIs and writing SQL queries.<br> • Hands-on experience with automation tools (Cypress, Playwright, Appium).<br> • Familiarity with CI/CD tools, Git, Docker, and agile methodologies.<br> • Bonus: Experience with performance testing (JMeter, k6), security testing (OWASP, JWT), and monitoring tools (Sentry, Datadog).<br>Reporting Structure<br> • Reports to: Director of Product Engineering<br> • Team size: You’ll be a foundational member of a 20-person launch team<br><br>*** For immediate and confidential consideration, please send a message to MEREDITH CARLE on LinkedIn or send an email to me with your resume. My email can be found on my LinkedIn page. Also, you may contact me by office: 515-303-4654 or mobile: 515-771-8142. Or one click apply on our Robert Half website. No third party inquiries please. Our client cannot provide sponsorship and cannot hire C2C. ***
Position: SENIOR SOFTWARE QUALITY ENGINEER - Shape the future of a Mobile-First Platform<br>Location: REMOTE<br>Salary: UP TO $125K BASE + BONUS + EXCEPTIONAL BENEFITS<br><br>*** For immediate and confidential consideration, please send a message to MEREDITH CARLE on LinkedIn or send an email to me with your resume. My email can be found on my LinkedIn page. ***<br><br>A nationally recognized company with a legacy of success is launching a bold new digital initiative—and this is your chance to be part of it from day one.<br>With full executive backing and the resources of a Fortune 500 parent, this newly formed department is building a mobile-first product from scratch. It’s a greenfield, 0-to-1 launch with a startup pace and mindset—but with the stability and funding already in place. The first MVP is on the runway, and we’re assembling a team of 20 innovators to bring it to life.<br>We’re looking for a Senior Software Quality Engineer who’s passionate about building scalable, secure, and seamless digital experiences. You’ll lead quality efforts across mobile, web, backend, and third-party integrations—ensuring every release is rock solid.<br>Why This Role Stands Out<br> • Start-up energy, enterprise support: Build fast, innovate boldly, and work with cutting-edge tools—without worrying about funding or red tape.<br> • Impact from Day One: Help define the quality strategy for a product that’s being built from the ground up.<br> • Modern tech stack: Work across Flutter, Node.js/NestJS, PostgreSQL, and integrate with CI/CD pipelines and automation frameworks.<br>What You’ll Do<br> • Design and implement end-to-end test strategies across mobile, web, backend, and integrations.<br> • Collaborate with product, engineering, and DevOps to define acceptance criteria and test plans.<br> • Develop and execute automated and manual test cases for UI, API, and workflows.<br> • Maintain and evolve automation frameworks using Cypress, Playwright, Appium, and Postman.<br> • Validate third-party integrations and ensure seamless user experiences.<br> • Integrate testing into CI/CD pipelines (GitHub Actions, GitLab CI).<br> • Manage test environments, mock servers, and test data.<br> • Track and report on quality metrics—test coverage, defect rates, release readiness.<br>What You Bring<br> • 4–6 years of experience in software quality engineering or full-stack QA.<br> • Experience testing Flutter apps (mobile and web).<br> • Strong skills in testing Node.js/NestJS APIs and writing SQL queries.<br> • Hands-on experience with automation tools (Cypress, Playwright, Appium).<br> • Familiarity with CI/CD tools, Git, Docker, and agile methodologies.<br> • Bonus: Experience with performance testing (JMeter, k6), security testing (OWASP, JWT), and monitoring tools (Sentry, Datadog).<br>Reporting Structure<br> • Reports to: Director of Product Engineering<br> • Team size: You’ll be a foundational member of a 20-person launch team<br><br>*** For immediate and confidential consideration, please send a message to MEREDITH CARLE on LinkedIn or send an email to me with your resume. My email can be found on my LinkedIn page. Also, you may contact me by office: 515-303-4654 or mobile: 515-771-8142. Or one click apply on our Robert Half website. No third party inquiries please. Our client cannot provide sponsorship and cannot hire C2C. ***
