Quality Assurance Specialist

About the Opportunity

With little supervision, the Patient Access Quality Assurance Specialist will work directly with all levels of Patient Access leadership and the individual Patient Access Specialists and Sr. Patient Access Specialists. They will be responsible for auditing Patient Access calls, accounts, and work queues to ensure compliance and consistency to policy and procedure. They will be responsible for identifying trends and provide reporting for training/coaching purposes to both leadership and associates. In addition to auditing accounts, the auditor will ensure monthly quality scorecards are completed accurately and adhere to department standards and established metrics for quality.

Essential Job Functions

• Audit Patient Access calls, accounts, and work queues to ensure compliance and consistency to policy and procedure.
• Monitor the quality audit tool and process and ensure accurate record keeping and audit scoring and system documentation.
• Identify trends and recommend quality and training needs of the department.
• Partner with the leadership team to monitor, record and provide individual performance reporting for training/coaching purposes.
• Ensure monthly quality scorecards are completed accurately and adhere to department standards and established metrics for quality.
• Collaborate with Patient Access leadership to remain updated on any new policy and procedure changes to make necessary changes on all associate scorecards.
• Continuous research, development and implementation of new quality procedures and programs to ensure cutting edge ideas and efficiencies.
• Provide routine calibrations with the associates to further explain the score.
• Provide ad hoc audits requested by Patient Access leadership, in addition to normal account edits.

Employment Qualifications

Job Experience: 1 to 3 years experience in a similar role.

Desired Education Level: Associates Degree or Equivalent Experience.

Ensemble Required License: Certified Revenue Cycle Representative (CRCR) Certification or other approved job relevant certification.

Other Preferred Knowledge, Skills, and Abilities

• Knowledgeable in Patient Access Services and Patient Access technology, applications, systems, processes.
• Knowledgeable in all Microsoft Office products, with an emphasis in Excel.
• Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.
• This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.

Benefits & Incentives

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement
• Associate benefits designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs
• Quarterly and annual incentive programs for all employees who go beyond and keep raising the bar

Pay

This pay starts at $17.80. Final pay will be determined based upon experience and equity.