Baptist Health - Central Alabama

Pricing Analyst

• Design, develop, and deliver comprehensive training programs for Patient Access staff
• Collaborate closely with Denials Specialists, Quality Assurance Representatives, and operational leaders
• Identify training needs, close knowledge gaps, and reinforce sustainable education
• Develop and maintain training solutions based on quality audit findings and operational performance metrics
• Support system testing, workflow validation, payer rule configuration, and new edit creation
• Ensure that front-end teams minimize registration errors and maintain compliance

Revenue Cycle Optimization Educator

QA Engineer

• Responsible for evaluating the accuracy, completeness, and compliance of Patient Access workflows
• Conduct comprehensive audits, including random reviews, targeted audits based on denial trends, and ongoing monitoring
• Ensure consistent adherence to organizational policies, payer requirements, and documentation standards
• Partner with Patient Access leadership, Denials Specialists, and the Training and Education team to identify performance gaps
• Validate staff competency and provide actionable feedback that drives continuous improvement.

Quality Assurance Auditor

General

• Validate dispute reasons and escalate payment variance trends to management.
• Generate appeals for denied or underpaid claims.
• Resolve complex and aged accounts through research of regulations and billing rules.
• Provide feedback to Managed Care and Revenue Integrity teams.
• Document all pertinent collection activities thoroughly.

Revenue Cycle Optimization Educator

Quality Assurance Auditor

Denials Management Specialist