Job description
Key Responsibilities:
- SOP Creation and Maintenance:
- Develop and document clear, structured SOPs for various medical billing tasks, such as claim submission, payment posting, denial management, and patient billing etc
- Collaborate with department members to understand existing processes, capturing all necessary steps, roles, and tools in the SOPs.
- Ensure SOPs are easy to understand, accessible, and up-to-date for all team members.
- SOP Review and Compliance:
- Conduct regular reviews of SOPs to ensure they remain current and compliant with industry standards.
- Make updates to SOPs as required to maintain alignment with billing standards.
- ISO Audit Assistance:
- Support the department’s ISO audit readiness by aligning procedures with ISO quality standards and preparing documentation.
- Assist the Quality Assurance team in preparing for audits, focusing on aligning departmental practices with ISO requirements.
- Document and organize SOPs to facilitate easy access and retrieval during audits.
- Training and Process Improvement:
- Facilitate training sessions on new or updated SOPs, ensuring all team members understand and can adhere to documented procedures.
- Identify areas for process improvement based on SOP reviews and feedback from team members, implementing updates that enhance efficiency and accuracy.
- Conduct internal checks on SOP adherence, reporting results to the Department Manager for review and necessary action.
- Cross-Functional Collaboration:
- Act as a point of contact within the team for questions related to SOPs, clarifying procedures, and providing guidance on following established processes.