Jefferson Health · 9 hours ago
Specialist: Quality Assurance and Training - Patient Access
Jefferson Health is a nationally ranked health care system committed to providing high-quality clinical care and education. The Specialist in Quality Assurance and Training will facilitate quality assurance processes in the Front End Revenue Cycle, provide training and mentoring for registrars, and identify areas for improvement in billing and denials.
Hospital & Health Care
Responsibilities
Assist in facilitating the work of Quality Assurance, review and improve accuracy of Front End Revenue Cycle which includes front end billing edits, front end denials, zero accounts and any other front end related revenue opportunity
Participate in and coordinate the implementation of strategies and processes
Participation and coordination of creation of payor update guides
Participate and create training manuals
Provide training and mentoring to new registrars on all shifts and current registrars in front end denial and edit findings
Identify and report ongoing issues and possible resolutions
Provide statistics to management
Responsible for presenting standard training programs, prepares course materials, establishes lesson plans and administers qualifying tests
Provides office support for all computer applications, office procedures and protocols
Run detailed statistics to determine what areas need improvement, where denials are happening, determine how to correct processes to prevent, bring information to denial meetings
Work with internal and external customers
Qualification
Required
Strong Verbal And Written Communication Skills Required
Patient Registration, third party billing, precertification, insurance verification experience required
Working knowledge of registration and billing regulatory requirements including EMTALA
Ability to prioritize tasks
Excellent PC literacy skills required
Candidate must have a positive and strong work ethic
Preferred
BA or BS in related field preferred OR 3-5 years in Patient Access and/or Patient Accounting Experience
1-3 years lead or supervisory experience preferred
Epic And Cerner Experience Strongly Preferred
Benefits
Medical (including prescription)
Supplemental insurance
Dental
Vision
Life and AD&D insurance
Short- and long-term disability
Flexible spending accounts
Retirement plans
Tuition assistance
Voluntary benefits
Company
Jefferson Health
Thomas Jefferson University and Thomas Jefferson University Hospitals are partners in providing excellent clinical and compassionate care for our patients in the Philadelphia region, educating the health professionals of tomorrow in a variety of disciplines and discovering new knowledge that will define the future of clinical care.
Funding
Current Stage
Late StageLeadership Team
Recent News
Philadelphia Business Journal
2025-03-26
2024-04-29
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