Quality Assurance Specialist II - Revenue Cycle Training and Quality Assurance
About the role
In addition to the responsibilities of QA Specialist I, QA Specialist II staff are responsible for monitoring the effectiveness of the registration quality assurance process including review of QA Specialist I staff to evaluate their ability to appropriately identify departments/users failing to accurately complete registration information and execute the appropriate follow-up steps.
QA Specialist II staff conduct onsite shadows with QA Specialist I and review their onsite visit reports. The QA Specialist II is a primary owner of registration-related claim edits and DNBs, conducting trend analysis to determine root cause. They facilitate regular meetings with Denials Management and billing representatives to review high-volume denials related to registration and identify steps to prevent downstream errors.
The QA Specialist II serves as a primary liaison between the QA team and the Patient Access director to report key trends and issues requiring leadership discussion. Performance is evaluated on the ability to reduce registration-related claim edits, denials, and DNBs over time by identifying root causes and training upstream staff on error prevention.
Requirements
- High School Diploma, GED, or Equivalent
- 5 years of experience
Preferred Qualifications
- Bachelor’s Degree
- 6 years of experience
- Graduate from Technical Training School in a related field of study
- Experience with Epic EMR systems
- Experience running and conducting report analysis to identify trends from an EMR system
- Demonstrated ability to facilitate cross-team communication and serve as a topic expert
Pay
The current salary range for this position is $25.47 to $35.03 per hour. Compensation decisions consider experience, education, licensure, unique skillsets, organizational need, and internal equity.