The Quality Assurance Specialist will partner with various departments to ensure the assigned departments and associates meet all pre-determined metrics as well as other regulatory guidelines. Collaborates with the service lines business management teams to implement successful action plans that improve overall quality metrics to meet regulatory and business requirements while effectively resolving deficiency and providing excellent customer service
Requirements
- Two (2) years for back-end Revenue Cycle (payment posting, credit resolution, billing, follow-up)
- Advanced Excel skills preferred
Responsibilities
- Performs quality reviews for all associates in assigned departments by reviewing patient accounts and/or payment posting batches. Scores associate performance against predefined metrics
- Creates documented processes to support the workflows of the department, as well as lead process improvement initiatives. Maintains organization of all training material created for the department by leveraging Intermountain tools
- Creates and provides quality monitoring reports to the Revenue Cycle Leadership teams. Utilizes reports to partner with Revenue Cycle leadership to lead quality calibration discussions and provide suggested solutions for identified trends
- Collaborates with multi-level Intermountain associates (includes leadership, associates, ITDS, ELPD) to customize workflows/tip sheets, Epic and revenue cycle management tool behavior, and reporting
- Assists with training for QA caregivers
Other
- Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards
- Performs other duties as assigned
- High school diploma or equivalent required
- Associate degree in related field preferred
- Written and Verbal Communication
