Quality Assurance Specialist – Patient Access

Location: Chicago, Illinois / On-site position Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Patient Access-Pre-Visit Work Type: Full Time (Total FTE between 0.9 and 1.0) Shift: Shift 1 Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM) Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.

rush.edu/rush-careers/employee-benefits).

Pay Range

$25.20 - $35.60 per hour Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position.

Offers may vary depending on the circumstances of each case. Summary: Help improve patient access quality and accuracy at Rush! Rush is seeking a Quality Assurance Specialist to support the quality and accuracy of Patient Access operations. In this role, you’ll review registration and account workflows, monitor performance, identify trends, and help ensure compliance with organizational policies and regulatory requirements.

You’ll analyze reports and dashboards, investigate account issues, and collaborate with Patient Access leadership and cross-functional teams to support accurate patient information and timely hospital reimbursement. This opportunity is ideal for a detail-oriented professional with experience in healthcare registration, auditing, quality assurance, or revenue cycle operations.

You’ll use your analytical and problem-solving skills to identify opportunities for improvement, support consistent processes across onsite and remote teams, and contribute to a positive experience for patients and internal partners. If you enjoy reviewing details, identifying discrepancies, improving processes, and working collaboratively to support quality healthcare operations, we invite you to explore this opportunity at Rush!

Exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures.

Responsibilities

Provides on-going monitoring to compile and track performance at the team and individual level and provides trend data to the management team. Prepares and analyzes internal and external quality reports for management staff to review – High dollar accounts; Aged accounts; Guarantor change account; CEA report; Claim edits; DNB accounts.

Works newborn accounts – monitoring the addition of insurance for newborn coverage. Reviews prior account notes for past due balances and any information that might aid in the account resolution process, as well as documents all encounters and actions. Follows up with responsible person managing account for updates to resolution.

Monitors daily Metrics dashboard for additional accounts that will impact overall increase in unresolved accounts that would impact department’s dashboard metrics for DNFB, Claim edits, and CFB Days. Exercise exceptional customer service skills when communicating with our team members, as well as our internal customers.

Finds resolution within the phone interaction satisfactory to the caller and/or having the knowledge when to escalate to their supervisor. Interacts and collaborates with numerous departments to resolve issues while also analyzing necessary information that will ensure hospital reimbursement. Initiates requests for financial Rush University Medical Center’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical, and professional behavior.

Guards to assure that HIPAA confidential medical information is protected. Attends regular EPIC training sessions or other sessions conducted for the benefit of associates involved in the Financial Counseling functions at all levels. Other duties as needed and assigned by the supervisor/manager. Required Job Qualifications: High school graduate or equivalent 1-2 years of experience Experience within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting Must have a basic understanding of the core Microsoft suite offerings (Word, PowerPoint, Excel).

Excellent communication and outstanding customer service and listing skills. Basic keyboarding skills Ability to analyze and interpret data Critical thinking, sound judgment and strong problem-solving skills essential Team oriented, open minded, flexible, and willing to learn Strong attention to detail and accuracy required Ability to prioritize and function effectively, efficiently, and accurately in a multi-tasking complex, fast paced and challenging department.

Ability to follow oral and written instructions and established procedures Ability to function independently and manage own time and work tasks Ability to maintain accuracy and consistency Ability to maintain confidentiality Preferred Job Qualifications: Associates Degree in Accounting or Business Administration Prior experience in auditing and registration Working knowledge of medical terminology and anatomy and physiology is preferable.

Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.