Pre-Service Quality Assurance Analyst, Revenue Cycle Quality, Full-Time, Days, Baptist Jacksonville

Job Summary

Baptist Health is hiring a Pre-Service Quality Assurance Analyst to join our Revenue Cycle Quality team at Baptist Jacksonville in Jacksonville, FL. This is a full-time day shift opportunity.

The Pre-Service Quality Assurance Analyst supports quality, exceptional patient experience, and stewardship by aligning performance measures with organizational goals and objectives. This role conducts quality reviews of Pre-Service Revenue Cycle functions, including Scheduling, Pre-Registration, and TAP/Financial Clearance, while identifying trends and opportunities for improvement. The ideal candidate is highly detail-oriented, flexible, self-motivated, and experienced in revenue cycle operations, medical billing, insurance, and coaching.

Pre-Service Quality Assurance Analyst Job Responsibilities:

• Conduct quality reviews of Pre-Service Revenue Cycle team members, including Scheduling, Pre-Registration, and TAP/Financial Clearance functions.
• Review productive work output and report quality results, trends, and audit exceptions.
• Identify root causes and recommend opportunities to resolve quality or process issues.
• Support strategic initiatives, process redesign, metric and report development, and special projects.
• Apply knowledge of State and Federal compliance requirements and regulations within Hospital and Professional/Physician settings.
• Evaluate work in accordance with managed care, scheduling, authorization, billing, and Revenue Cycle policies and procedures.
• Work independently and collaboratively with team members to support coaching and continuous performance improvement.

Pre-Service Quality Assurance Analyst Experience:

• 3–5 years of Medical Billing experience required.
• 3–5 years of Insurance experience required.
• 3–5 years of Single Billing Office experience required.
• 3–5 years of Medical Office experience required.
• 1–2 years of Coaching experience required.

Pre-Service Quality Assurance Analyst Education & Credential Requirements:

• Associate of Arts or Associate of Science degree required.
• Five years of relevant experience may be considered in lieu of the degree requirement.
• Certified Revenue Cycle Representative (CRCR) preferred.

If you are interested in this Full-time Pre-Service Quality Assurance Analyst position at Jacksonville, FL, please apply now!

Education Required

Associate Degree (AA/AS)

Experience

• Medical Office Experience
• Medical Billing Experience
• Insurance Experience
• Coaching Experience
• Single Billing Office Experience

License and Certification

• Driver's License - DMV

Location