Patient Service Quality Assurance Specialist

MCR Health, Inc; Bradenton (FL); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Drug-free workplace

Job summary

MCR Health is seeking a Quality Assurance Specialist in Bradenton, FL. This role focuses on auditing patient registrations, insurance verifications, scheduling accuracy, and front-office workflows to ensure adherence to policy and quality standards.

You will monitor performance metrics, develop audit tools, and provide actionable recommendations to leadership. Collaboration with PSR and leadership teams supports continuous improvements in patient access and experience.

Qualifications

• Associate degree in healthcare administration, quality management, or related field preferred.
• High School Diploma or GED required.
• Maximum three years in patient services, healthcare operations, insurance verification, or related healthcare experience.

Responsibilities

• Conduct routine audits of patient registrations, insurance verifications, scheduling accuracy, and front-office workflows.
• Evaluate compliance with organizational policies, procedures, regulatory standards, and quality expectations.
• Monitor performance metrics and identify trends, patterns, and corrective action areas.
• Develop and maintain quality monitoring tools, audit forms, scorecards, and tracking systems.
• Perform root cause analysis related to workflow inconsistencies and operational deficiencies.
• Provide audit findings, recommendations, and action plans to leadership.
• Track corrective actions and monitor improvements after training interventions.
• Assist with internal audits, accreditation reviews, and compliance assessments.

Skills

Quality auditing

Process improvement

Coaching

Training

Healthcare operations

Regulatory knowledge

Education

Associate degree

High School Diploma or GED

Job description

Why MCR Health?

A career at MCR Health offers exciting opportunities with one of the largest Healthcare companies in the areas we serve. Now, more than ever, we are looking for exceptional people to support our passion to provide "Exceptional Care to Everyone, Every Time", and to support our Mission

Brief Description

Why MCR Health?

A career at MCR Health offers exciting opportunities with one of the largest Healthcare companies in the areas we serve. Now, more than ever, we are looking for exceptional people to support our passion to provide "Exceptional Care to Everyone, Every Time", and to support our Mission to serve everyone. Whether you provide direct patient care or in other areas of our Company, you can find a home here. We invite you to be part of our Company where you can grow your career and serve with your heart.

In our time of Company growth, we seek a

Quality Assurance Specialist.

Work Locations:

Bradenton, FL

As Part Of This Role, You Will

Quality Assurance & Auditing

• Conduct routine audits of patient registrations, insurance verifications, scheduling accuracy, financial counseling activities, telephone encounters, and front-office workflows.
• Evaluate compliance with organizational policies, procedures, regulatory standards, and quality expectations.
• Monitor performance metrics and identify trends, patterns, and areas requiring corrective action.
• Develop and maintain quality monitoring tools, audit forms, scorecards, and tracking systems.
• Perform root cause analysis related to workflow inconsistencies, recurring errors, and operational deficiencies.
• Provide audit findings, recommendations, and action plans to leadership.
• Track corrective actions and monitor improvements following coaching and training interventions.
• Assist with preparation for internal audits, accreditation reviews, and compliance assessments.

Requirements

REQUIREMENTS & PREFERENCES

• Associate’s degree in healthcare administration, Business Administration, Quality Management, or related field preferred.
• High School Diploma or GED required.
• Maximum three (3) years of Patient Services, healthcare operations, insurance verification, patient access, or related healthcare experience.
• Minimum one (1) year of training, quality auditing, supervisory support, or process improvement experience preferred.
• Demonstrated knowledge of healthcare registration, scheduling, eligibility verification, and patient financial processes.

Summary

The Quality Assurance Specialist supports operational excellence across Patient Services by monitoring performance, auditing workflows, identifying trends, standardizing processes, and ensuring adherence to organizational policies, regulatory requirements, and patient experience standards. This position serves as a subject matter expert and resource for Patient Service Representatives (PSR) and leadership, providing coaching, training, quality monitoring, and process improvement recommendations.

The Quality Assurance Specialist collaborates with the Patient Services Lead and Senior Manager to identify opportunities for operational improvement, validate reporting accuracy, implement standardized workflows, and support staff development initiatives. This role functions as a PSR II during staffing shortages, vacancies, extended absences, and other coverage gaps to maintain uninterrupted patient access operations.

• MCR Health is a drug-free workplace. All job applicants selected for employment are required to submit to a pre-employment drug test and background check.