Rev Cycle QA Specialist

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

• 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

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.