Rev Cycle QA Specialist
Company: Sentara Health
Location: Charlottesville
Posted on: April 17, 2024
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Job Description:
City/State
Charlottesville, VA
Overview
Work Shift
First (Days) (United States of America)
Sentara Martha Jefferson Hospital is hiring a Revenue Cycle Quality
Assurance Specialist - Full Time Day schedule
Martha Jefferson Hospital was founded in September 1903, by seven
local physicians. In July 1904, the new hospital opened its doors.
Since then, the hospital has focused on setting the standard for
clinical quality and personalized healthcare services. Located in
Charlottesville, Va., Martha Jefferson is a 176-bed facility
featuring all patient-friendly private rooms.
Benefits: Sentara offers an attractive array of full-time benefits
to include Medical, Dental, Vision, Paid Time Off, Sick, Tuition
Reimbursement, a 401k/403B, 401a, Performance Plus Bonus, Career
Advancement Opportunities, Work Perks and more.Our success is
supported by a family-friendly culture that encourages community
involvement and creates unlimited opportunities for development and
growth.
Be a part of an excellent healthcare organization that cares about
our People, Quality, Patient Safety, Service, and Integrity. Join a
team that has a mission to improve health every day and a vision to
be the healthcare choice of the communities that we serve!
Talroo - Allied Health, revenue cycle
Job Summary
Responsible for performing quality assurance reviews for assigned
areas of the Revenue Cycle and Patient Access, with a focus on
improving the accuracy and productivity of all revenue cycle
systems by assisting in facilitating, completing operations
improvement projects, monitoring and improving quality of the
patient account integrity. Under the direction of the Revenue Cycle
Education Leadership team, Revenue Cycle Quality Assurance
Specialist will assist in data collection, data analysis,
reporting, coordination of projects, assist in implementing
processes, and communication of efforts. Duties may include, but
are not limited to, reviews of insurance and denials management
processes, claim and account detail, assuring quality, accuracy,
timeliness and appropriateness standards are maintained and quality
standards measured and achieved. Serves as subject matter expert
with regard to assigned revenue cycle systems and business
processes used to ensure appropriate use and maximum efficiency.
Performs process, operational and system workflow
monitoring/reviews to ensure that efficient, cost effective work
processes are being executed and/or creates tracking of areas that
need to be addressed by management to optimize workflow, quality
and performance.
2 years Registration, Billing or Collections experience required.
Bachelor's Degree preferred. Knowledge of Revenue Cycle software
systems required (HBOC, MCKESSON, EPIC PRELUDE/RESOLUTE). Must be
proficient with EPIC - Grand Central/Prelude/Resolute and trained
as a super user for HBOC.
Qualifications:
BLD - Bachelor's Level Degree
Healthcare, Leadership, Quality Improvement,
Registration/Billing
Skills
Accounting/Auditing, Communication, Critical Thinking, Microsoft
Office, Project Management, Reading Comprehension, Service
Orientation, Social Perceptiveness, Speaking, Technology/Computer,
Time Management, Writing
Sentara Healthcare prides itself on the diversity and inclusiveness
of its close to an almost 30,000-member workforce. Diversity,
inclusion, and belonging is a guiding principle of the organization
to ensure its workforce reflects the communities it serves.
Per Clinical Laboratory Improvement Amendments (CLIA), some
clinical environments require proof of education; these regulations
are posted at ecfr.gov for further information. In an effort to
expedite this verification requirement, we encourage you to upload
your diploma or transcript at time of application.
In support of our mission to improve health every day, this is a
tobacco-free environment. Associated topics: prevent, quality,
quality assurance, quality assurance engineer, quality assurance
lead, software quality assurance, software quality engineer,
software quality assurance engineer, test, tester
Keywords: Sentara Health, Charlottesville , Rev Cycle QA Specialist, Other , Charlottesville, Virginia
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here to apply!
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