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QA Compliance Auditor, Remote, Education & Quality Assurance, FT, 08:30A-5P

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Baptist Health

Yesterday

  • Job
    Full-time
    Junior Level
  • Customer Relations
    Healthcare
  • Miami, +13

AI generated summary

  • You need an Associate's degree, NAHAM certification, 1-2 years healthcare experience, PC proficiency, strong communication skills, and attention to detail. HFMA certification preferred.
  • You will conduct quality assurance reviews for Patient Access, ensuring compliance with HIPAA, AHCA, and SOX, while coordinating data acquisition to optimize reimbursement.

Requirements

  • Degrees:
  • * Associates.
  • Licenses & Certifications:
  • * NAHAM Certified Healthcare Access Associate.
  • Additional Qualifications
  • * HS Diploma or equivalent.
  • * One to two years experience in a health care environment with extensive knowledge of the revenue cycle (Patient Access, Case Mgmt, HIPAA, AHCA, Sarbanes-Oxley, Patient Finance, HIM, etc.) workflow processes with emphasis in Patient Access.
  • * Certification preferred in Healthcare Financial Mgmt Association (HFMA), Certified Revenue Cycle Representative (CRCR), must obtain within one year.
  • * Experience & knowledge of PC applications, including Office 365, Microsoft Office products MS-Word, MS-Excel, MS-PowerPoint, etc.
  • * Must be very detail oriented, self-motivated & have excellent organizational & interpersonal communication skills.
  • * Highly organized & 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 & exemplifies high ethical standards & strategic practices to enhance the success of the organization.
  • * Ability to quickly learn & adapt to new technologies & 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 & team interactions.
  • * Ability to comprehend complex technical topics & specialized information.

Responsibilities

  • To perform quality assurance reviews for all Patient Access departments within Baptist Health South Florida following HIPAA, AHCA, and Sarbanes-Oxley (SOX) guidelines and to assist with coordinating the acquisition and dissemination of data related to Patient Access to maximize reimbursement.

FAQs

What is the job title for this position?

The job title is QA Compliance Auditor.

What are the working hours for this role?

The working hours are from 08:30 AM to 05:00 PM.

Is this position full-time or part-time?

This position is full-time.

What is the estimated pay range for this position?

The estimated pay range for this position is $25.00 - $30.25 per hour, depending on experience.

What educational qualifications are required for this position?

An Associate's degree is required, along with a high school diploma or equivalent.

What certifications are preferred or required for this role?

A NAHAM Certified Healthcare Access Associate certification is required. Additionally, certification in Healthcare Financial Management Association (HFMA) or Certified Revenue Cycle Representative (CRCR) is preferred and must be obtained within one year.

How many years of experience are needed for this position?

One to two years of experience in a healthcare environment is required.

What type of work experience should the candidate have?

Extensive knowledge of the revenue cycle, including areas such as Patient Access, Case Management, HIPAA, AHCA, Sarbanes-Oxley, Patient Finance, and Health Information Management (HIM).

Is proficiency in PC applications required?

Yes, experience and knowledge of PC applications, including Office 365 and Microsoft Office products (Word, Excel, PowerPoint), is required.

What qualities are essential for a successful candidate?

Candidates must be detail-oriented, self-motivated, organized, and possess excellent interpersonal communication skills.

Is there an emphasis on ethical standards in this role?

Yes, fostering and exemplifying high ethical standards and strategic practices is important to enhance the success of the organization.

Will there be opportunities for training in new technologies?

Yes, the role requires the ability to quickly learn and adapt to new technologies and software tools.

Is there a focus on teamwork for this position?

Yes, the ability to work effectively within a team environment is essential.

Does the organization have a positive workplace culture?

Yes, Baptist Health South Florida has been recognized as one of Fortune's 100 Best Companies to Work For, highlighting its positive workplace culture.

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Baptist Health

Science & Healthcare
Industry
10,001+
Employees

Mission & Purpose

Baptist Health South Florida has been named a 2024 Fortune 100 Best Companies to Work For once again! This is the 24th year in a row on this extraordinary list. We have also been recognized for being among the best healthcare providers in the nation by U.S. News and World Report in its 2023-2024 Best Hospital rankings, as well as earning 45 high-performing honors. Baptist Health South Florida is the region's largest not-for-profit healthcare organization with more than 23,000 employees working across 11 hospital campuses and more than 100 outpatient and urgent care facilities throughout Miami-Dade, Monroe, Broward, and Palm Beach counties. In 2016, we welcomed the newest weapon in the fight against cancer: proton therapy treatment inside the world-class Miami Cancer Institute. At Baptist Health, we strive for excellence in everything we do. This commitment extends to our team, which we support with extensive training programs, millions of dollars in tuition assistance, comprehensive benefits, and more. Joining our award-winning culture means receiving the respect and support needed to achieve your best work. Discover why Baptist Health is the ideal place to excel! Join our Talent Community and stay up-to-date on our career opportunities!