Revenue Cycle QA Specialist

2 days ago

Norfolk, United States Sentara Healthcare Full time

**Sentara Health** is seeking to hire a qualified individual to join our team as a **Revenue Cycle QA Specialist**.

**Position Status**: Full-time, Day Shift

**Position Location**: This position is hybrid for** residents of the Hampton Roads area of Virginia**

**Standard Working Hours**: 8:00AM to 5:00PM (ET).

**Minimum Requirements**:
**Requirements**:

- Minimum of 4 years experience in PB/HB Billing, Follow-Up, Denials, or Credit Balances.
- Proficiency with Revenue Cycle software systems (PB EPIC PRELUDE/RESOLUTE).
- Bachelor's Degree preferred

**Diversity and Inclusion at Sentara**

Our vision is that everyone brings the strengths that come with diversity to work with them every day. When we are achieving our vision, we have team members that feel they belong and can be their authentic selves, and our workforce is reflective of the communities we serve.

We are realizing this vision through our Diversity and Inclusion strategy, which has three pillars: A diverse and talented workforce, an inclusive and supportive workplace, and outreach and engagement with our community. We have made remarkable strides in these areas over the past several years and, as our world continues to evolve, we know our work is never done.

Our strategies focus on both _structural inclusion_, which looks at our organizational structures, processes, and practices; as well as _behavioral inclusion_, which evaluates our mindsets, skillsets, and relationships. Together, these strategies are moving our organization forward in an environment that fosters a culture of mutual respect and belonging for all.

**Please visit the link below to learn more about Sentara’s commitment to diversity and inclusion**:
**Sentara Overview**
For more than a decade, Modern Healthcare magazine has ranked Sentara Health as one of the nation's top integrated healthcare systems. That's because we are dedicated to growth, innovation, and patient safety at more than 300 sites of care in Virginia and northeastern North Carolina, including 12 acute care hospitals.

**Sentara Benefits**
As the third-largest employer in Virginia, Sentara Health was named by Forbes Magazine as one of America's best large employers. We offer a variety of amenities to our employees, including, but not limited to:

- Medical, Dental, and Vision Insurance
- Paid Annual Leave, Sick Leave
- Flexible Spending Accounts
- Retirement funds with matching contribution
- Supplemental insurance policies, including legal, Life Insurance and AD&D among others
- Work Perks program including discounted movie and theme park tickets among other great deals
- Opportunities for further advancement within our organization

Join our team We are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, and growth

**Please Note**: The yearly Flu Vaccination is required for employment.

**_ Note:_**_ Sentara Health offers employees comprehensive health care and retirement benefits designed with you and your family's well-being in mind. Our benefits packages are designed to change with you by meeting your needs now and anticipating what comes next. You have a variety of options for medical, dental and vision insurance, life insurance, disability, and voluntary benefits as well as Paid Time Off in the form of sick time, vacation time and paid parental leave. Team Members have the opportunity to earn an annual flat amount Bonus payment if established system and employee eligibility criteria is met._

The Revenue Cycle Quality Assurance Specialist plays a crucial role in enhancing the accuracy and productivity of all revenue cycle systems. This position focuses on performing quality assurance reviews, facilitating operational improvement projects, and ensuring the integrity of patient accounts. Under the guidance of the Revenue Cycle Education Leadership team, the specialist will engage in data collection, analysis, and reporting, as well as coordinate and implement process improvements.
- Conduct quality assurance reviews in assigned revenue cycle areas.
- Improve insurance and denials management processes by ensuring quality, accuracy, timeliness, and appropriateness standards.
- Monitor and review processes, operations, and system workflows to maintain cost-effective and efficient work processes.
- Assist in data collection, analysis, and reporting to support decision-making and project coordination.
- Communicate efforts and results to relevant stakeholders.
- Bachelor's Level Degree
- Healthcare 3 years
- Registration/Billing 2 years
- Leadership Previous Experience
- Quality Improvement Previous Experience
- Accounting/Auditing
- Communication
- Critical Thinking
- Microsoft Office
- Project Management
- Reading Comprehension
- Service Orientation
- Social Perceptiveness
- Speaking
- Technology/Computer
- Time Management
- Writing

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