Sr. Quality Assurance Specialist at Partner's Healthcare in Salem, Massachusetts

Job TitleResponsible for ensuring the quality and accuracy of Patient Access Services (PAS) billing and claims processes. Performs quality assurance reviews, analyzes workflows, and collaborates with staff to ensure compliance with billing policies and improve patient access operations.This role will provide oversight of the patient access service training and quality assurance processes to ensure materials are compliant and current with Epic and industry standards. Key areas of focus will include ensuring the quality of registrations across the hospital is meeting benchmarks to eliminate added volume in work queues and ensure efficient claim processing. Actively work in Epic software to review registration errors, authorizations and insurance claim edits. Identifies areas for improvement and develops, implements, maintains, and continuously evaluates the training program for patient access employees. This role will also serve as a subject matter expert and assist with Epic system upgrades and education and re-training of staff.Essential FunctionsDesigns and evaluates employee training programs to enhance accuracy, efficiency, and compliance.Conducts quality assurance reviews and audits to ensure compliance and identify improvement opportunities.Analyzes performance metrics and trends, providing actionable insights and reports to management.Maintains documentation of QA practices, procedures, and audit outcomes.Ensures regulatory compliance with federal, state, and organizational policies.Manages staffing logistics, including shift coverage and monthly scheduling.Supports timekeeping and approvals in UKG as a designated delegate.Provides cross-functional and real-time operational support across Patient Access areas, including ED Registration.Work alongside manager to ensure appropriate staffing and efficient workflows in patient areas.QualificationsEducation: Associate's Degree Healthcare Administration required or Associate's Degree Business required or Associate's Degree Related Field of Study required.Can this role accept experience in lieu of a degree? YesLicenses and Credentials: Experience in PAS, billing, or quality assurance 2-3 years required and Experience within a healthcare environment 2-3 years preferred.Knowledge, Skills and Abilities: In-depth understanding of PAS billing, claims processing, and quality assurance practices. Strong analytical skills, with the ability to identify trends and provide actionable insights. Proficiency in using billing software and data analysis tools. Effective communication skills, with the ability to train and collaborate with team members. Detail-oriented with a strong focus on accuracy and compliance.Physical RequirementsStanding Occasionally (3-33%)Walking Occasionally (3-33%)Sitting Constantly (67-100%)Lifting Occasionally (3-33%) 20lbs - 35lbsCarrying Occasionally (3-33%) 20lbs - 35lbsPushing Rarely (Less than 2%)Pulling Rarely (Less than 2%)Climbing Rarely (Less than 2%)Balancing Occasionally (3-33%)Stooping Occasionally (3-33%)Kneeling Rarely (Less than 2%)Crouching Rarely (Less than 2%)Crawling Rarely (Less than 2%)Reaching Occasionally (3-33%)Gross Manipulation (Handling) Constantly (67-100%)Fine Manipulation (Fingering) Frequently (34-66%)Feeling Constantly (67-100%)Foot Use Rarely (Less than 2%)Vision - Far Constantly (67-100%)Vision - Near Constantly (67-100%)Talking Constantly (67-100%)Hearing Constantly (67-100%)Remote Type: Hybrid Work Location 81 Highland Avenue Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $30.60 - $44.51/Hourly Grade 6At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth.EEO Statement: 3200 North Shore Medical Center, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at View phone number on click.appcast.io. disABLEDperson Inc