Quality Assurance Specialist | Charlottesville, VA

Detailed Information

  • Location: Charlottesville, VA

  • Company: Sentara Health

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 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.

Bacheloru0027s 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. Bacheloru0027s Level Degree Healthcare 3 years Registration/Billing 2 years Leadership Previous Experience Quality Improvement Previous Experience Accounting/Auditing Communication Critical Thinking Microsoft Office Project Management Reading Comprehension Service Orientation Social Perceptiveness Speaking Technology/Computer Time Management Writing

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