Revenue Cycle Quality Assurance Specialist, Self-Pay Collections

Hennepin Healthcare is an integrated system of care that includes HCMC, a nationally recognized Level I Adult Trauma Center and Level I Pediatric Trauma Center and acute care hospital, as well as a clinic system with primary care clinics located in Minneapolis and across Hennepin County. The comprehensive healthcare system includes a 473-bed academic medical center, a large outpatient Clinic & Specialty Center, and a network of clinics in the North Loop, Whittier, and East Lake Street neighborhoods of Minneapolis, and in the suburban communities of Brooklyn Park, Golden Valley, Richfield, and St. Anthony Village. Hennepin Healthcare has a large psychiatric program, home care, and operates a research institute, philanthropic foundation, and Hennepin EMS. The system is operated by Hennepin Healthcare System, Inc., a subsidiary corporation of Hennepin County.

Equal Employment Opportunities: We believe equity is essential for optimal health outcomes and are committed to achieve optimal health for all by actively eliminating barriers due to racism, poverty, gender identity, and other determinants of health. We are committed to equitable care and working in an environment that celebrates, promotes, and protects diversity, equity, inclusion, and belonging. We are committed to bringing in individuals with new cultural perspectives to assist in creating a more equitable healthcare organization.

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

You've made the right choice in considering Hennepin Healthcare for your employment. We offer a wealth of opportunities for individuals who want to make an impact in our patients' lives. We are dedicated to providing Equal Employment Opportunities to both current and prospective employees. We are driven to connect talented individuals with life-changing career opportunities, enabling you to provide exceptional care without exception. Thank you for considering Hennepin Healthcare as a future employer.

Please Note: Offers of employment from Hennepin Training experience - classroom and/or individualHealthcare are conditional and contingent upon successful clearance of all background checks and pre-employment requirements.

• We offer a competitive pay rate based on your skills, licensure/certifications, education, experience related to this position, and internal equity.
• We provide an extensive benefits program that includes Medical; Dental; Vision; Life, Short and Long-term Term Disability Insurance; Retirement Funds; Paid Time Off; Tuition reimbursement; and license and Certification reimbursement (Available ONLY for benefit eligible positions).
• For a complete list of our benefits, please visit our career site on why you should work for us.