Job description
The Opportunity
Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes.
Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.
Joining the Huron team means you’ll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise.
Join our team as the expert you are now and create your future.
Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.
Joining the Huron team means you’ll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise.
Join our team as the expert you are now and create your future.
Position Summary
The Quality Assurance Analyst ensures revenue cycle staff performance is accurate and complete. The QA Analyst performs quality monitoring to ensure staff are adhering to expected workflows, internal policies, and external regulatory requirements. The QA Analysts reviews client training materials and as necessary develops tip sheets and trainings to be shared across our team. The QA Analyst is a remote position supporting a virtual business office. As such, this role requires frequent and effective communication via phone, email, and instant messaging with the various engagement teams. Strong oral and written communication skills, analytical skills, ability to work independently, and be self-motivated are required.
Qualifications
Duties and Responsibilities:
- Provide operational, analytical, and audit support to Huron Managed Services Business office
- Seek to understand project team initiatives, leverage information provided and request feedback for improvement in order to maximize quality on case tasks
- Reviews, monitors, and documents staff performance throughout the revenue cycle by accessing competencies through quality audits
- Front End focused audits include: eligibility and benefits
- Mid Cycle focused audits include: charge capture, coding, modifiers
- Back End focused audits include: post payment reviews, aged account reviews, denial root cause identification
- Documents performance deficiencies and makes training recommendations based on audit results
- Develops and implements relevant revenue cycle education programs
- Makes recommendations for staff reassignment as appropriate when performance continues to fall below expected levels
- Reports all identified compliance risks to appropriate leadership
- Proposes reviews to internal and client training materials such as Situation Response Guides (SRGs), Standard Operating Procedures (SOPs), and tip sheets
- Analyzes trends in staff performance to identify areas where increased automation, revised workflows, additional oversight, or other factors could positively improve accuracy, efficiency, or cash flow
- Develop and refine documentation to support client work processes (e.g., training materials, process documentation, client work templates).
- Other duties and responsibilities as assigned.
- Reporting and Supervision:
- The Quality Assurance Analyst will report to an HMS Manager
Qualifications:
- Candidate Requirement:
- Four-year bachelor’s degree
- Knowledge, Skill, and Ability Requirements
- Advanced proficiency with Microsoft office suite (Excel, Word, PowerPoint, Outlook, Visio, SharePoint)
- Analytical skills (problem solving, quantitative, work flow process, etc.).
- Ability to pay close attention to details; strong follow-up and follow-through skills
- Excellent time management skills; organized; ability to prioritize to complete multiple tasks on schedule in a deadline driven environment
- Requires the use of independent judgment, discretion and decision making abilities
- Ability to interact with internal and external customers in a professional manner
- Ability to ramp up on a client’s environment, processes, historical context, and systems to provide support to an engagement as soon as possible
- Demonstrates a solid understanding of and adheres to all Huron Healthcare compliance program requirements
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May be requested to work overtime and/or weekends to fulfil client requirements
Work Environment:
- This job operates in a professional office environment.
- This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
Physical Demands:
- This role requires remaining seated at a desk/computer for 8 hours daily; repetitive use of computer keyboard and mouse; use of computer monitors for 8 hours daily; interaction though video/audio conference calls and possible use of a headset with microphone; very rarely duties might require the ability to lift up to 20 pounds and bending & standing for periods at a time.
- The estimated salary range for this job is $25.00 - $34.00/hour. The range represents a good faith estimate of the range that Huron reasonably expects to pay for this job at the time of the job posting. The actual salary paid to an individual will vary based on multiple factors, including but not limited to specific skills or certifications, years of experience, market changes and required travel. This job is also eligible to participate in Huron’s annual incentive compensation program, which reflects Huron’s pay for performance philosophy and Huron’s benefit plans which include medical, dental and vision coverage and other wellness programs. The salary range information provided is in accordance with applicable state and local laws regarding salary transparency that are currently in effect and may be implemented in the future.
Posting Category
Healthcare
Opportunity Type
Regular
Country
United States of America
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