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Revenue Cycle Quality Auditor - 22403

Company

Northside Hospital Inc.
Address , Atlanta, 30319, Ga
Employment type FULL_TIME
Salary
Expires 2023-07-01
Posted at 1 year ago
Job Description
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.
  • Performs compliance process audits, such as Important Message from Medicare, Medicaid plan application, Medicare Secondary Payer Questionnaire, Annual required signatures on file, etc.
  • Reviews patient satisfaction data and detail patient comments for feedback and QA application.
  • Attends training team meetings.
  • Processes error disputes within quality assurance system, providing timely feedback to staff.
  • Performs audits of other nature, as assigned.
  • Performs account review for account financial resolution opportunities and performance opportunities.
  • Reassigns scanned images, as needed.
  • 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.
  • Observes areas for operational flow opportunities.
  • Audits HPF and HBF queues, as appropriate.
Qualifications:
REQUIRED:
Associates or Bachelors Degree in Healthcare Management or related field
OR
High School diploma/Equivalent PLUS three (3) years registration experience.

Functional knowledge of ADT and related systems
Excellent written and oral communication skills
Strong analytical, problem solving, trouble shooting skills
Skilled in the use and application of Microsoft Office Suite (Power Point, Word, Excel, Access, Outlook)

**candidates must score at least 75% (business writing, grammar usage and Excel 2016) on pre-screening skills aptitude assessments (AMCAT) in order to advance through the interview process**

PREFERRED:
Prior or existing experience in insurance verification, precertification, and/or billing/collections in a hospital based environment.


Work Hours:: 7a-3:45p Weekend Requirements:: No On-Call Requirements:: No