What are the responsibilities and job description for the Revenue Cycle QA Specialist position at Sentara Health?
City/State
Norfolk, VA
Work Shift
First (Days)
Overview:
Sentara Health is seeking to hire a qualified individual to join our team as a
Revenue Cycle QA Specialist
Position Status: Full-time, Day Shift
Position Location:
Position 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
Minimum Requirements:
For more than a decade, Modern Healthcare magazine has ranked Sentara Health as one of the nation's top integrated healthcare systems. That's because we are dedicated to growth, innovation, and patient safety at more than 300 sites of care in Virginia and northeastern North Carolina, including 12 acute care hospitals.
Sentara Benefits
As the third-largest employer in Virginia, Sentara Health was named by Forbes Magazine as one of America's best large employers. We offer a variety of amenities to our employees, including, but not limited to:
Medical, Dental, and Vision Insurance
Please Note: The yearly Flu Vaccination is required for employment.
Note: Sentara Health offers employees comprehensive health care and retirement benefits designed with you and your family's well-being in mind. Our benefits packages are designed to change with you by meeting your needs now and anticipating what comes next. You have a variety of options for medical, dental and vision insurance, life insurance, disability, and voluntary benefits as well as Paid Time Off in the form of sick time, vacation time and paid parental leave. Team Members have the opportunity to earn an annual flat amount Bonus payment if established system and employee eligibility criteria is met.
We provide market-competitive compensation packages, inclusive of base pay, incentives, benefits, and equity. The base pay rate for Full Time employment is:$22.36 - $37.26
Benefits: Caring For Your Family and Your Career
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Norfolk, VA
Work Shift
First (Days)
Overview:
Sentara Health is seeking to hire a qualified individual to join our team as a
Revenue Cycle QA Specialist
Position Status: Full-time, Day Shift
Position Location:
Position 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
- Review 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.
Minimum Requirements:
- 2 years Registration, Billing or Collections experience required.
- 3years Healthcare
- 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.
For more than a decade, Modern Healthcare magazine has ranked Sentara Health as one of the nation's top integrated healthcare systems. That's because we are dedicated to growth, innovation, and patient safety at more than 300 sites of care in Virginia and northeastern North Carolina, including 12 acute care hospitals.
Sentara Benefits
As the third-largest employer in Virginia, Sentara Health was named by Forbes Magazine as one of America's best large employers. We offer a variety of amenities to our employees, including, but not limited to:
Medical, Dental, and Vision Insurance
- Paid Annual Leave, Sick Leave
- Flexible Spending Accounts
- Retirement funds with matching contribution
- Supplemental insurance policies, including legal, Life Insurance and AD&D among others
- Work Perks program including discounted movie and theme park tickets among other great deals
- Opportunities for further advancement within our organization
Please Note: The yearly Flu Vaccination is required for employment.
Note: Sentara Health offers employees comprehensive health care and retirement benefits designed with you and your family's well-being in mind. Our benefits packages are designed to change with you by meeting your needs now and anticipating what comes next. You have a variety of options for medical, dental and vision insurance, life insurance, disability, and voluntary benefits as well as Paid Time Off in the form of sick time, vacation time and paid parental leave. Team Members have the opportunity to earn an annual flat amount Bonus payment if established system and employee eligibility criteria is met.
We provide market-competitive compensation packages, inclusive of base pay, incentives, benefits, and equity. The base pay rate for Full Time employment is:$22.36 - $37.26
Benefits: Caring For Your Family and Your Career
- Medical, Dental, Vision plans
- Adoption, Fertility and Surrogacy Reimbursement up to $10,000
- Paid Time Off and Sick Leave
- Paid Parental & Family Caregiver Leave
- Emergency Backup Care
- Long-Term, Short-Term Disability, and Critical Illness plans
- Life Insurance
- 401k/403B with Employer Match
- Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
- Student Debt Pay Down – $10,000
- Reimbursement for certifications and free access to complete CEUs and professional development
- Pet Insurance
- Legal Resources Plan
- Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Salary : $5,250
