Revenue Cycle Quality Assurance Auditor

🕒 September 4

🐊 Florida – Remote

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💵 $21 - $27 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔧 QA Engineer (Quality Assurance)

👻 Ghost score 2%

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Logo of Baptist Health

Baptist Health

10,000+ employees

🏥 Healthcare

🤝 Non-profit

Healthcare • Non-profit

Baptist Health is the region's largest not-for-profit healthcare organization in South Florida. It operates 12 hospitals, more than 29,000 employees, 4,500 physicians, and roughly 200 outpatient centers, urgent care facilities, and physician practices across Miami-Dade, Monroe, Broward, and Palm Beach counties. The system includes renowned centers of excellence in cancer, heart and vascular, brain and spine, and orthopedic care, and is supported by philanthropy and a faith-based mission. Baptist Health emphasizes clinical quality, patient safety, staff development, and community-oriented care.

📋 Description

• Performs quality assurance reviews for all MCI Revenue Cycle departments • Reviews All Pre-Registration, Clinic and Treatment Authorizations, and Billing activities • Follows HIPAA, AHCA, and Sarbanes-Oxley (SOX) guidelines • Maintains confidentiality regarding work reviewed during audits • Performs other tasks as needed in an active work environment with changing work needs

🎯 Requirements

• Associate degree • Certified Revenue Cycle Representative (CRCR) preferred • Two years minimum experience in a health care environment with knowledge of the revenue cycle (All Pre-Registration, Treatment and Clinic Authorizations, Billing, etc.) • Experience and knowledge of PC applications, including Office 365, Microsoft Office products MS-Word, MS-Excel, MS-PowerPoint, etc. • Must be very detail oriented, self-motivated and have excellent organizational and interpersonal communication skills • Highly organized and able to effectively maintain multiple initiatives while driving sustainable operational changes • Demonstrate flexibility to perform other tasks as needed in an active work environment with changing work needs • Fosters and exemplifies high ethical standards and strategic practices to enhance the success of the organization • Ability to quickly learn and adapt to new technologies and software tools • High level of attention to detail • Self-motivation with an ability to work effectively within a team environment • Strong interpersonal skills in both customer and team interactions • Ability to comprehend complex technical topics and specialized information • Ability to maintain confidentiality regarding work reviewed during audits

🏖️ Benefits

• Career growth and development opportunities, with clear pathways and ongoing support • Comprehensive health and wellness resources that go beyond traditional benefits • A wellness program that can help employees eliminate their medical plan deductible, reducing out-of-pocket healthcare costs • Tuition reimbursement to support continued learning and advancement

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