Quality Assurance Specialist (Self Pay) Job at Acclara Solutions
We work hard to make Acclara a great place to work. Our people are our greatest assets, and we encourage employees to grow and develop, assuming greater responsibilities and leadership roles.
JOB SUMMARY
We are looking for a Quality Assurance Specialist to join our team. The Quality Assurance Specialist, under immediate supervision, performs quality assessments on inbound, outbound calls, and other communication channels of patient services representatives in which the level of quality, as defined, is evaluated and scored. From time to time, the incumbent will also audit accounts and reviews and analyzes data and documentation to ensure compliance with company policies and procedures and government regulatory requirements. Judgements are made on routine matters of relatively small impact. The candidate/incumbent is somewhat familiar with fundamental quality assurance methods, concepts, and practices. The Quality Assurance Specialist has knowledge of operational procedures and assists in identifying opportunities for process improvement.
Responsibilities for Quality Assurance Specialist
Acclara is an equal opportunity at will employer and does not discriminate against any employee or applicant for employment because of age, race, religion, color, disability, sex, sexual orientation or national origin.
Please Note :
bankofmontserrat.ms is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, bankofmontserrat.ms provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.
JOB SUMMARY
We are looking for a Quality Assurance Specialist to join our team. The Quality Assurance Specialist, under immediate supervision, performs quality assessments on inbound, outbound calls, and other communication channels of patient services representatives in which the level of quality, as defined, is evaluated and scored. From time to time, the incumbent will also audit accounts and reviews and analyzes data and documentation to ensure compliance with company policies and procedures and government regulatory requirements. Judgements are made on routine matters of relatively small impact. The candidate/incumbent is somewhat familiar with fundamental quality assurance methods, concepts, and practices. The Quality Assurance Specialist has knowledge of operational procedures and assists in identifying opportunities for process improvement.
Responsibilities for Quality Assurance Specialist
- Assess quality of customer service by monitoring recorded inbound, outbound calls and other communication channels.
- Apply Acclara quality standards in the Call Quality Assessment process.
- Record results of all Call Quality Assessments.
- Identify follow-up on quality outcomes that do not meet the quality standards.
- Audit accounts for timely and proper follow-up.
- Document results of account audits.
- Performs HIPAA audits to ensure compliance with current HIPAA policies.
- Assist with special projects.
- Performs other duties as assigned
- Ability to learn/stay abreast of relevant policies and procedures
- Basic math skills to be able to calculate discounts, payment plan arrangements, validate contractual and out-of-pocket patient liability
- Ability to navigate through multiple software and computer applications
- Detail oriented and well organized
- Excellent customer service skills
- · Ability to use proper language, grammar and style, in verbal and written communications
- Good problem-solving skills to research information using available resources, reference FAQs, and other information resources
- Ability to focus completely on listening to calls, understand the message, comprehend the information and transfer knowledge into QA practices
- · Ability to source information rapidly in an electronic environment
- Full understanding of HIPAA and PCI protocols
- Good interpersonal and listening skills
- Has knowledge of Quality Assurance methodologies
- Understanding of health care industry terms (e.g. primary care, provider, benefits, HIPAA,EOBs, CPT & ICD-10 codes, HCFAs, UB04s, HCPCS, DRGs and authorizations/referrals
- Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)
- Performs tasks with a high degree of accuracy with ability to meet production standards with minimal errors
- · Demonstrates ability to work as a team player and independently
- · Able to meet production standards with minimal errors
- · Ability to perform under pressure in a calm manner while maintaining a professional attitude
- · Ability to be flexible in fast past environment and adapt with change
- High school diploma or equivalent
- A minimum of 2 years previous work experience in healthcare insurance collections, self-pay collections and customer service in a call center setting or compliance and/or training
- Must understand the basic healthcare revenue cycle operational processes such as insurance and patient billing and collections, Managed Care, Medicare, Medicaid and Commercial Practices. Experience in customer service in a call center setting is desirable
- Experience with Epic, CUBS, and QA applications preferred
Acclara is an equal opportunity at will employer and does not discriminate against any employee or applicant for employment because of age, race, religion, color, disability, sex, sexual orientation or national origin.
Please Note :
bankofmontserrat.ms is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, bankofmontserrat.ms provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.