RCM Quality Specialist

BJC HealthCare • St. Louis, MO

4d • Remote

About The Position

The RCM Quality Specialist has revenue cycle subject matter expertise, specifically in patient access and revenue management, along with an inherent ability to analyze and improve individual team member performance gaps as well as broader, systemic quality gaps. Implements and manages department-level elements of RCM’s quality management system. Is responsible for developing resources and facilitating processes for audits of individual team member performance as well as team level quality. Uses analytic reports to identify broader trends in quality gaps; collaborates with appropriate peers and leaders to identify root causes, develops potential mitigation plans, and implements those plans. Develops and updates standard work documentation; ensures updates are communicated to all appropriate team members and is incorporated into training materials.

Requirements

• Associate's Degree
• 2-5 years experience
• Ability to work independently
• Thorough understanding of medical insurance and billing/follow up processes
• High level of attention
• Previous background in RCM or Patient Access

Nice To Haves

• Bachelor's Degree
• 5-10 years experience
• Supervisor Experience

Responsibilities

• Partners with leaders to identify metrics at the individual team member level and at the team-level. These metrics will drive data collection strategy, training content, mitigation planning, and changes to workflows and standard work.
• Develops and continuously improves RCM’s quality management systems, for individual team member performance audits/mitigation plans and team-level quality audits/mitigation plans.
• In collaboration with training specialists and preceptors, conducts performance audits on team members.
• Communicates performance and quality gaps with RCM leaders.
• Accesses individual team member performance reports and quality analytic reports to identify trends in gaps.
• Collaborates with leaders and training specialists to analyze the root causes of gaps.
• Works with appropriate leaders to develop and implement mitigation plans.
• Identifies trends that may require additional training focus, standard work modification, etc.
• Collaborates with training specialists and department leaders to ensure documented, easily accessible, current, thorough and accurate standard work (such as policies, procedures, and work flows) is in place for each job role.
• Incorporates standard work into training courses and materials.
• Builds consistency across departments.

Benefits

• Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
• Disability insurance paid for by BJC
• Annual 4% BJC Automatic Retirement Contribution
• 401(k) plan with BJC match
• Tuition Assistance available on first day
• BJC Institute for Learning and Development
• Health Care and Dependent Care Flexible Spending Accounts
• Paid Time Off benefit combines vacation, sick days, holidays and personal time
• Adoption assistance

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree