Revenue Cycle Quality Assurance Specialist, Bilingual Spanish

Hennepin Healthcare is an integrated system of care that includes HCMC, a nationally recognized Level I Adult Trauma Center and Level I Pediatric Trauma Center and acute care hospital, as well as a clinic system with primary care clinics located in Minneapolis and across Hennepin County. The comprehensive healthcare system includes a 473-bed academic medical center, a large outpatient Clinic & Specialty Center, and a network of clinics in the North Loop, Whittier, and East Lake Street neighborhoods of Minneapolis, and in the suburban communities of Brooklyn Park, Golden Valley, Richfield, and St. Anthony Village. Hennepin Healthcare has a large psychiatric program, home care, and operates a research institute, philanthropic foundation, and Hennepin EMS. The system is operated by Hennepin Healthcare System, Inc., a subsidiary corporation of Hennepin County.  

Equal Employment Opportunities: We believe equity is essential for optimal health outcomes and are committed to achieve optimal health for all by actively eliminating barriers due to racism, poverty, gender identity, and other determinants of health. We are committed to equitable care and working in an environment that celebrates, promotes, and protects diversity, equity, inclusion, and belonging. We are committed to bringing in individuals with new cultural perspectives to assist in creating a more equitable healthcare organization.

JOB DETAILS
Department: Self-Pay Collections
FTE: 1.00 (80 hours per pay period)
Shift(s): Day
Shift Length: 8 hours
Location: Hybrid, MN Applicants only 

Purpose of this position: Responsible for auditing for Revenue Cycle functions to ensure accuracy and compliance; providing meaningful statistical information to individuals, departments, and the organization; identifying training
needs and working in partnership with the team/management to provide additional training opportunities
and process improvements.

RESPONSIBILITIES

• Reviews, monitors, and documents staff and department performance throughout the revenue cycle by assessing competencies through quality audits
• Arranges audit timelines with individual departments and external business partners, and ensures each party meets set 
• Documents performance deficiencies, organizes trend analysis for revenue cycle leadership and summarizes findings in periodic excel reports
• Provides one-on-one targeted training in response to performance deficiencies, and promotes a collaborative environment by addressing issues in a constructive and proactive manner
• Analyzes trends in staff and department performance to identify areas where increased automation, revised workflows, adjusted oversight, or other factors could positively affect accuracy, efficiency, or cash flow
• Maintains knowledge of regulations, compliance requirements, revenue cycle process and revenue cycle systems
• Insurance follow up and denials
• Claims acceptance and Billing
• Perform and lead staff huddles and other assigned departmental meetings
• Review and negotiates non contracted single payor agreements
• Maintains/updates MHA quarterly data information error reporting
• Other duties as assigned, but only after appropriate training