Quality Assurance Auditor

Jobtailor; Montgomery (AL); On-site; USD 65,000 - 90,000; Full time

Job summary

Jobtailor is hiring for a Patient Access auditing role in the healthcare revenue cycle space. The candidate will evaluate workflows for accuracy and compliance, perform comprehensive audits, and ensure adherence to payer requirements and documentation standards.

The role requires partnering with leadership and training teams to identify gaps, validate staff competency, and deliver actionable feedback to drive continuous improvement in our operations.

Qualifications

• Bachelor’s degree in Business Administration, Healthcare Administration, Health Information Management, or related field required.
• Minimum 3 years of patient access or healthcare revenue cycle experience required.
• Experience in registration, insurance verification, authorization workflows, or denial prevention strongly preferred.
• Certified Healthcare Access Associate (CHAA), Certified Healthcare Access Manager (CHAM), or Certified Revenue Cycle Specialist (CRCS) required or obtained within 1 year of hire.

Responsibilities

• Evaluate the accuracy, completeness, and compliance of Patient Access workflows.
• Conduct comprehensive audits, including random reviews, targeted audits based on denial trends, and ongoing monitoring.
• Ensure consistent adherence to organizational policies, payer requirements, and documentation standards.
• Partner with Patient Access leadership, Denials Specialists, and the Training and Education team to identify performance gaps.
• Validate staff competency and provide actionable feedback that drives continuous improvement.

Skills

Auditing

Quality Review

Denial Prevention

Registration Workflows

Authorization Workflows

Education

Bachelor's degree in Healthcare Administration or related field

Job description

Responsibilities

• Responsible for evaluating the accuracy, completeness, and compliance of Patient Access workflows
• Conduct comprehensive audits, including random reviews, targeted audits based on denial trends, and ongoing monitoring
• Ensure consistent adherence to organizational policies, payer requirements, and documentation standards
• Partner with Patient Access leadership, Denials Specialists, and the Training and Education team to identify performance gaps
• Validate staff competency and provide actionable feedback that drives continuous improvement

Requirements

• Bachelor’s degree in Business Administration, Healthcare Administration, Health Information Management, or related field required.
• Minimum 3 years of patient access or healthcare revenue cycle experience required.
• Experience in registration, insurance verification, authorization workflows, or denial prevention strongly preferred.
• Prior auditing, quality review, or training/education support experience a plus.
• Certified Healthcare Access Associate (CHAA), Certified Healthcare Access Manager (CHAM), or Certified Revenue Cycle Specialist (CRCS) required or obtained within 1 year of hire.

Core Competencies

Demonstrates expertise in Patient Access workflows, including auditing, compliance, and performance improvement. Proficient in healthcare revenue cycle processes and capable of providing actionable feedback to enhance staff competency.

Hard Skills

• Auditing
• Quality Review
• Denial Prevention
• Registration Workflows
• Authorization Workflows

Soft Skills

• Actionable Feedback
• Collaboration

Certifications & Qualifications

• Certified Healthcare Access Associate (CHAA)
• Certified Healthcare Access Manager (CHAM)
• Certified Revenue Cycle Specialist (CRCS)

Industry Keywords

• Patient Access
• Compliance
• Documentation Standards
• Payer Requirements
• Performance Gaps