Tennr

Medical Quality Assurance Specialist, RCM/DME

Tennr(2 months ago)

HybridFull TimeJunior$80,000 - $105,000Product
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About this role

A Medical Quality Assurance Specialist at Tennr focuses on ensuring compliance and accuracy in the processing of Durable Medical Equipment (DME) and Home Medical Equipment (HME) orders. This role involves validating orders for completeness and medical necessity, verifying eligibility, and collaborating with cross-functional teams to streamline workflows and reduce errors. The specialist is responsible for translating payer requirements into structured internal guidelines, conducting quality audits, and maintaining documentation related to payer policies and coding standards.

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Required Skills

  • Quality Assurance
  • Revenue Cycle Management
  • Durable Medical Equipment
  • Home Medical Equipment
  • Compliance Standards
  • Order Validation
  • Documentation Review
  • Insurance Verification
  • Benefits Verification
  • Customer Documentation

+14 more

Tennr

About Tennr

www.tennr.com

Tennr is a documentation management platform designed to streamline and simplify the creation of payor-ready documents for healthcare organizations. By enhancing documentation processes, Tennr aims to boost conversion rates and minimize claim denials, ultimately improving revenue cycles for its users. With a focus on operational efficiency, the company provides tools that ensure compliance and readiness for various payor requirements, helping healthcare providers navigate the complexities of billing and reimbursement.

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