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Northside Hospital Inc. • Brookhaven, Georgia, United States
Role & seniority: Quality Assurance Auditor – Patient Access; mid-level, focuses on QA across registration, admissions, and PBX functions.
Stack/tools: ADT and related patient access systems; Microsoft Office Suite (Word, Excel, PowerPoint, Access, Outlook).
Perform and maintain quality assurance processes and audits for registration, admissions, and PBX personnel; process error disputes and provide feedback.
Review patient satisfaction data and comments; evaluate weekly quality reports and identify training needs; observe operational flow opportunities.
Conduct compliance audits (Medicare/Medicaid tasks, Important Message, annual signatures, etc.) and reassign scanned images as needed; support duties of Patient Access Representative, Room Control, and PBX Operator.
High School Diploma or equivalent; three years of registration experience.
Functional knowledge of ADT and related systems.
Excellent written and oral communication; strong analytical and problem-solving abilities.
Proficiency with Microsoft Office (PowerPoint, Word, Excel, Access, Outlook).
Bachelor’s degree in Healthcare Management or related field.
Knowledge of federal/state regulations and JCAHO requirements.
Experience in insurance verification, precertification, billing and collections.
Certifications: CHAA or CPAR.
Location & work type: Northside Hospital, Atlanta area; Full-time role; Hours
Overview Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today. Responsibilities Responsible for performing & maintaining the quality assurance processes for all registration, admissions and PBX personnel across the organization. Performs audits to ensure quality and compliance standards are met. Processes error disputes within quality assurance system, providing timely feedback to staff. Performs account review for account financial resolution opportunities and performance opportunities. Observes areas for operational flow opportunities. Reviews patient satisfaction data and detail patient comments for feedback and QA application. Performs compliance process audits, such as Important Message from Medicare, Medicaid plan application, Medicare Secondary Payer Questionnaire, Annual required signatures on file, etc. Audits HPF and HBF queues, as appropriate. Performs audits of other nature, as assigned. Reassigns scanned images, as needed. Attends training team meetings. Evaluates/Completes weekly quality report. Analyzes trends in data, makes recommendations for training needs. Performs duties of Patient Access Representative, Room Control Representative and PBX Operator. Qualifications
High School Diploma and/or equivalent
THREE YEARS' REGISTRATION EXPERIENCE
Functional knowledge of ADT and related systems
Excellent written and oral communication skills
Strong analytical, problem solving, trouble shooting skills
Skilled in the use and application of Microsoft Office Suite (Power Point, Word, Excel, Access, Outlook)
PREFERRED: 1. Bachelor's degree in Healthcare Management or related field
Knowledge of Federal and State regulations
Knowledge of JCAHO requirements
Demonstrated knowledge of insurance verification, precert, billing and collection procedures
CHAA (Certified Healthcare Access Associate) or CPAR (Certified Patient Account Representative)