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Remote Quality Associate Jobs in Tennessee (NOW HIRING)

Mesa Associates, Inc.

Owner's Engineer

Chattanooga, TN · On-site +1

$75K - $100K/yr

... a remote setting. Education/Licensure: * A Bachelor's degree in engineering from and ABET ... Mesa provides a very flexible schedule to all of our associates. This part time position will offer ...

Mesa Associates Inc.

Owner's Engineer

Chattanooga, TN · On-site +1

$75K - $100K/yr

... a remote setting. Education/Licensure: * A Bachelor's degree in engineering from and ABET ... Mesa provides a very flexible schedule to all of our associates. This part time position will offer ...

Mesa Associates Inc.

Owner's Engineer

Knoxville, TN · On-site +1

$73K - $98K/yr

... a remote setting. Education/Licensure: * A Bachelor's degree in engineering from and ABET ... Mesa provides a very flexible schedule to all of our associates. This part time position will offer ...

Mesa Associates, Inc.

Owner's Engineer

Knoxville, TN · On-site +1

$73K - $98K/yr

... a remote setting. Education/Licensure: * A Bachelor's degree in engineering from and ABET ... Mesa provides a very flexible schedule to all of our associates. This part time position will offer ...

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All JobsQuality Associate JobsRemote Quality Associate JobsRemote Quality Associate Jobs in Tennessee

Remote Quality Associate information

What is the difference between Remote Quality Associate vs Remote Quality Auditor?

AspectRemote Quality AssociateRemote Quality Auditor
CertificationsISO, Six Sigma, or related quality certifications often preferredISO, Six Sigma, or similar certifications typically required
Work EnvironmentCollaborates with teams, reviews processes, supports quality improvementConducts audits, reviews compliance, documents findings
Industry UsageUsed across manufacturing, healthcare, tech, and service sectorsCommon in manufacturing, healthcare, and regulatory industries

The Remote Quality Associate focuses on supporting quality processes, collaborating with teams, and improving quality systems. In contrast, the Remote Quality Auditor primarily conducts audits to ensure compliance and documents findings. Both roles require similar certifications and are used across various industries, but their core responsibilities differ in scope and focus.

What are the most commonly searched types of Remote Quality jobs in Tennessee?

The most popular types of Remote Quality jobs in Tennessee are:

What are popular job titles related to Remote Quality Associate jobs in Tennessee?

For Remote Quality Associate jobs in Tennessee, the most frequently searched job titles are:

What job categories do people searching Remote Quality Associate jobs in Tennessee look for?

The top searched job categories for Remote Quality Associate jobs in Tennessee are:

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Cities in Tennessee with the most Remote Quality Associate job openings:

Remote Quality Associate jobs near you

Revenue Cycle Associate - Financial Clearance

QHC ARM Shared Services

Brentwood, TN • Remote

Full-time

Medical, Retirement, PTO

Posted 28 days ago

Key responsibilities

  • Verify patient insurance eligibility, benefits, and medical necessity prior to the patient's date of service.

  • Secure prior authorization, provide notices of admission, and obtain referrals as required.

  • Resolve insurance coverage and authorization discrepancies, and handle denials related to referrals, authorizations, and medical necessity.

Job description

Revenue Cycle Associate - Financial Clearance

Employment Type: Full Time
Location:  Remote
Reports To: Manager, Financial Clearance

You must reside in one of these states to be eligible for this position:

Arkansas                  California                 Kentucky
Massachusetts                Nevada                    New Mexico
Oregon                  Utah                      Tennessee
Texas                     Wyoming

Job Summary:

The Revenue Cycle Associate, Financial Clearance position is responsible for ensuring that a patient’s visit is financially cleared prior to the date of service. The role includes verifying patient insurance eligibility/benefits, calculating patient liability estimates, securing prior authorization, providing notice of admission, obtaining referrals, and verifying medical necessity. These efforts will result in increased net revenues by reducing front-end related denial write-offs. Interactions will be conducted with providers, payers, patients, and hospital-based personnel. Duties are to be performed accurately and timely while providing exceptional customer service.

Key Responsibilities:

  • Ensures Financial Clearance (e.g., verification of eligibility/ benefits, securing prior authorization, etc.) is obtained timely prior to the patient’s date of service based on service line and departmental policies.
  • Performs coverage discovery using eligibility tools to identify additional insurance coverage if existing insurance on file is inactive.
  • Calculates and clearly documents patient liability estimates based on patient’s verified benefit information.
  • Provides payers with timely inpatient and observation Notices of Admission (NOA) as required based on payer-specific guidelines.
  • Validates prior authorization has been obtained and follows up with providers via phone as required for applicable services lines.
  • Verifies medical necessity for applicable patients and identifies instances where a Medicare Advance Beneficiary Notices of Noncoverage (ABN or NONC) is required.
  • Escalates instances where Financial Clearance may not be obtained (e.g., unable to obtain authorization) prior to patient’s DOS to appropriate stakeholders in accordance with departmental deferral policies.
  • Resolves insurance coverage and authorization information discrepancies as identified through automated quality assurance tool.
  • Works denials related to referral, authorizations, notifications, non-coverage, and medical necessity as assigned. This includes, but is not limited to, coordinating with appropriate stakeholders to submit rebills or appeals and obtaining retro authorization when required.
  • Observes privacy, safety, and security procedures, and uses equipment and materials properly.
  • Possesses the ability to work within a remote call center environment, free from distractions and background noise. 
  • Recognizes and consistently exhibits exceptional customer service as a critical factor in all duties performed.

Required Skills & Qualifications:

  • Proficient in typing.
  • General knowledge of medical terminology.
  • Ability to communicate effectively and professionally in English, both verbally and in writing. 
  • Critical thinking and problem-solving skills.
  • High school graduate or equivalent.
  • One year of related experience in the medical field is preferred. 

Benefits:

  • Competitive salary and benefits package.
  • Opportunities for professional development and advancement.
  • Supportive work environment with a collaborative team.
  • Comprehensive healthcare coverage.
  • Retirement savings plan.
  • Paid time off and flexible scheduling options.
  • Student loan repayment program.