• Revenue Cycle Quality Assurance Specialist,…

    Minnesota Visiting Nurse Agency (Minneapolis, MN)


    *_SUMMARY:_*

    We are currently seeking a*Rev Cy Quality Assurance Specialist*to join our Self-Pay Collections.This full-time role will work in a hybrid environment, /MN Applicants only/ (days, M- F).

     

    *Purpose of this 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.//

     

    *_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

    *QUALIFICATIONS:*

    */Minimum Qualifications:/*

    * 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

    -OR-

    * An approved equivalent combination of education and experience

    */Preferred Qualifications:/*

    * Epic experience

    * Audit experience

    */Knowledge/ Skills/ Abilities:/*

    * 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

    **Title:** * Revenue Cycle Quality Assurance Specialist, Self-Pay Collections *

    **Location:** *MN-Minneapolis-Downtown Campus*

    **Requisition ID:** *250912*