Revenue Cycle Quality Auditor Hospital Side Insurance Coding Verification
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Job Location:
Atlanta, GA - USA
Monthly Salary:
Not Disclosed
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
Overview
Northside Hospital is award-winning state-of-the-art and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.
Responsibilities
- Responsible for performing & maintaining the quality assurance processes for all registration admissions and PBX personnel across the organization.
- Performs audits to ensure quality and compliance standards are met.
- Processes error disputes within quality assurance system providing timely feedback to staff.
- Performs account review for account financial resolution opportunities and performance opportunities.
- Observes areas for operational flow opportunities.
- Reviews patient satisfaction data and detail patient comments for feedback and QA application.
- Performs compliance process audits such as Important Message from Medicare Medicaid plan application Medicare Secondary Payer Questionnaire Annual required signatures on file etc.
- Audits HPF and HBF queues as appropriate.
- Performs audits of other nature as assigned.
- Reassigns scanned images as needed.
- Attends training team meetings.
- Evaluates/Completes weekly quality report. Analyzes trends in data makes recommendations for training needs.
- Performs duties of Patient Access Representative Room Control Representative and PBX Operator.
Qualifications
REQUIRED:
1. High School Diploma and/or equivalent
2. THREE YEARS REGISTRATION EXPERIENCE
3. Functional knowledge of ADT and related systems
4. Excellent written and oral communication skills
5. Strong analytical problem solving trouble shooting skills
6. Skilled in the use and application of Microsoft Office Suite (Power Point Word Excel Access Outlook)
PREFERRED:
1. Bachelors degree in Healthcare Management or related field
2. Knowledge of Federal and State regulations
3. Knowledge of JCAHO requirements
4. Demonstrated knowledge of insurance verification precert billing and collection procedures
5. CHAA (Certified Healthcare Access Associate) or CPAR (Certified Patient Account Representative)
Work Hours:
Weekend Requirements:
On-Call Requirements:
Required Experience:
IC
Key Skills
- Business Development
- Apprentice
- Asset Management
- ABAP
- IT Strategy
- Manufacturing
About Company
Join Atlanta’s most preferred hospital for a rewarding and purposeful career. See trending jobs and learn more now.
