Pt Access Qa Specialist

Job Summary

The Patient Access Quality Assurance Specialist assists the Patient Access and Pre-Services leadership teams with quality initiatives to decrease access errors on the Roper Saint Francis Healthcare (RSFH) revenue cycle and to monitor our regulatory/compliance commitments. Responsibilities include analyzing reports relative to compliance and revenue cycle of RSFH, contacting patients to resolve failed claim/bill issues, creation of reports outlining identified data, and providing error trending for departmental leadership to identify issues with teammate or workflow. The Patient Access Quality Assurance Specialist will prepare materials for training sessions, staff rounding to discuss errors and provide recommendations for improvement, and internet based learning modules. This role will also participate in the intake of new hires and their initial classroom based training, and the required onsite review to complete the training cycle.

Minimum Qualifications

Education: High school diploma or equivalent (GED) required. Associates degree preferred.

Experience: At least 4 years of experience in a patient financial healthcare setting, along with in depth knowledge of health insurance plans and an understanding of HIPPA regulations required. Prior trainer or lead experience preferred.

Licensure/Certification: Must have a valid SC Driver’s license.

Primary Source Verification (if applicable): n/a

Knowledge/Skills: Strong leadership, interpersonal and customer service skills required. The ability to multi-task and excellent organizational skills. Strong problem solving skills working independently and as a member of a team. Enhanced computer skills, PC and Windows experience, and Microsoft office; certification with Excel and PowerPoint highly preferred. Knowledge of medical terminology preferred.

Other: Must have reliable transportation as travel to multiple facilities is required. Requires the use of general office equipment including, but not limited to: computer, calculator, fax machine, printer, and copier.

Contacts

PI222015610