Lead Revenue Cycle Quality Auditor (Patient Access/Registration)
On-siteAtlanta, Georgia, United States
Job Summary
Assist the Integration & QA Coordinator in organizing and re-allocating work to maintain quality assurance processes for registration reporting across Patient Access and non-reporting sites. Perform compliance process audits for Medicare, Medicaid, and other regulatory requirements, while processing error disputes and reviewing patient satisfaction data for QA application. Reassign scanned images, reconcile patient account information between systems, and evaluate weekly quality reports to analyze trends and recommend training needs. Additionally, perform duties as a Patient Access Representative, Room Control Representative, and Scheduler as required.
Required Qualifications
- Bachelor's degree in Healthcare Management or related field
- Associate's degree in Healthcare Management or related field and two years of registration experience
- High School diploma or equivalent and 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)
- Ability to work independently
- Demonstrated knowledge of healthcare operations, to include Patient Access product impact on reimbursement
Desired Qualifications
- Bachelor's degree in Healthcare Management or related field
- Knowledge of Federal and State regulations
- Knowledge of JCAHO requirements
- Demonstrated knowledge of insurance verification, pre-cert, billing and collection procedures
- Evidence of the ability to work well with others- a team player
- Ability to organize and implement various programs
- CHAA (Certified Healthcare Access Associate) or CPAR (Certified Patient Account Representative)
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