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A leading healthcare organization is seeking a Quality Specialist to ensure compliance with quality metrics and regulatory guidelines. The role involves conducting quality reviews, creating processes, and collaborating with various teams to enhance overall quality. Candidates should possess a high school diploma and experience in revenue cycle management.
**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.
**Essential Functions**
· Performs quality reviews for all associates in assigned departments by reviewing patient accounts and/or payment posting batches. Scores associate performance against predefined metrics
· Creates documented processes to support the workflows of the department, as well as lead process improvement initiatives. Maintains organization of all training material created for the department by leveraging SCL Health tools
· 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
· 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
· Completes testing of newly revised or developed processes on SCL Health tools such as the revenue cycle management tool and Epic
· Assists with training for QA caregivers
· Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards
· Performs other duties as assigned
**Skills**
· Written and Verbal Communication
· Teamwork and Collaboration
· Ethics
· Conflict resolution
· People Management
· Time Management
· Metrics Development
· Quality Metrics
· Workflow Management
· Document Development
· Process Improvements
· Revenue Cycle Management (RCM)
· Cash Management
**Qualifications**
· High school diploma or equivalent required
· Two (2) years for Revenue Cycle and/or Cash Management required · Associate degree in related field preferred
**Physical Requirements**
· Ongoing need for employee to see and read information, documents, monitors, identify equipment and supplies, and be able to assess colleagues’ needs. · Frequent interactions with colleagues that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately
· Manual dexterity of hands and fingers to include frequent computer use for typing, accessing needed information, etc
**Physical Requirements:**
**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.
$21.98 - $33.48
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 package here (https://intermountainhealthcare.org/careers/benefits) .
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.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.