Revenue Cycle Quality Assurance Specialist, Bilingual Spanish

Hennepin Healthcare•Minneapolis, MN

10d•Hybrid

About The Position

Responsible for auditing for Revenue Cycle functions to ensure accuracy and compliance; providing meaningful statistical information to individuals, departments, and the organization; identifying training needs and working in partnership with the team/management to provide additional training opportunities and process improvements.

Requirements

Two (2) year degree in Accounting, Business, Healthcare Administration, Health & Human Services, or related field
Two (2) years Hospital and/or Clinic registration experience
Experience with an electronic health record system
Two (2) years’ experience working with insurance information
Training experience – classroom and/or individual
An approved equivalent combination of education and experience
Demonstrates strong knowledge of Revenue Cycle billing, follow up and denials
Demonstrates strong insurance knowledge
Demonstrates strong written and verbal communication and presentation skills
Demonstrates Proficiency using Microsoft Office programs (Outlook, Word, Excel, and PowerPoint)
Proven analytical and problem-solving skills
Proven strong customer service orientation
Self-motivated with strong initiative to learn
Excellent organization skills and ability to prioritize demands

Nice To Haves

Epic experience
Audit experience

Responsibilities

Reviews, monitors, and documents staff and department performance throughout the revenue cycle by assessing competencies through quality audits
Arranges audit timelines with individual departments and external business partners, and ensures each party meets set
Documents performance deficiencies, organizes trend analysis for revenue cycle leadership and summarizes findings in periodic excel reports
Provides one-on-one targeted training in response to performance deficiencies, and promotes a collaborative environment by addressing issues in a constructive and proactive manner
Analyzes trends in staff and department performance to identify areas where increased automation, revised workflows, adjusted oversight, or other factors could positively affect accuracy, efficiency, or cash flow
Maintains knowledge of regulations, compliance requirements, revenue cycle process and revenue cycle systems
Insurance follow up and denials
Claims acceptance and Billing
Perform and lead staff huddles and other assigned departmental meetings
Review and negotiates non contracted single payor agreements
Maintains/updates MHA quarterly data information error reporting
Other duties as assigned, but only after appropriate training