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Intermountain Health Quality Assurance Specialist in Boston, Massachusetts

Job Description:

The Quality 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.

Scope

  1. Performs quality reviews for all associates in assigned departments by reviewing patient accounts and/or payment posting batches. Scores associate performance against predefined metrics.

  2. Creates documented processes to support the workflows of the department, as well as lead process improvement initiatives.

  3. 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.

  4. Collaborates with multi-level SCL associates (includes leadership, associates, ITDS, ELPD) to customize workflows/tip sheets, Epic and revenue cycle management tool behavior, and reporting.

  5. Maintains organization of all training material created for the department by leveraging SCL Health tools.

  6. Completes testing of newly revised or developed processes on SCL Health tools such as the revenue cycle management tool and Epic.

  7. Promotes mission, vision, and values of SCL Health, and abides by service behavior standards.

  8. Performs other duties as assigned.

Education

Required: High School Diploma or Equivalent.

Preferred: Associates degree in related field preferred.

Experience

Required: Two (2) years of Revenue Cycle and/or Cash Management

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements list must be representative of the knowledge, skills, minimum education, training, licensure, experience, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Understands in depth the processes throughout the Cash Management departments for quality and compliance.

  • Ability to interact with internal customers in a manner which shows partnership to reach the common goal of resolving delinquency, providing excellent customer service and following compliance.

  • Effective communications skills: written and verbal.

  • Ability to adapt to change and work in a fast-paced environment.

  • Ability to stay organized while managing multiple ongoing projects and assignments.

  • Ability to self-direct once provided with desired outcome and overall work plan.

  • Data analysis to identify patterns and trends to improve the targeted activity and outcome.

  • Ability to produce data in a spreadsheet, pivot table, slide show or other communication tool that can be easily understood.

  • Knowledge of Federal and State regulations governing hospital revenue cycle operations and cash management.

Physical Requirements:

Anticipated job posting close date:

06/17/2024

Location:

Peaks Regional Office

Work City:

Broomfield

Work State:

Colorado

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$21.08 - $36.24

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers (https://intermountainhealthcare.org/careers/working-for-intermountain/employee-benefits/) , and for our Colorado, Montana, and Kansas based caregivers (http://www.sclhealthbenefits.org) ; and our commitment to diversity, equity, and inclusion (https://intermountainhealthcare.org/careers/working-for-intermountain/diversity/) .

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

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