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Quality Assurance Auditor
Baptist Health - Central AlabamaQuality Assurance Auditor at Baptist Health engaging in audits and performance evaluation. Focusing on registration practices aiming to reduce technical denials in a healthcare setting.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Patient Access workflows, including auditing, compliance, and performance improvement. Proficient in healthcare revenue cycle processes and capable of providing actionable feedback to enhance staff competency.
Highest-signal resume keywords
Patient Access WorkflowsHealthcare Revenue Cycle ExperienceAuditing and Quality ReviewCertified Healthcare Access Associate (CHAA)Insurance Verification
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
AuditingQuality ReviewDenial PreventionRegistration WorkflowsAuthorization Workflows
Soft Skills
Actionable FeedbackCollaboration
Certifications & Qualifications
Certified Healthcare Access Associate (CHAA)Certified Healthcare Access Manager (CHAM)Certified Revenue Cycle Specialist (CRCS)
Industry Keywords
Patient AccessComplianceDocumentation StandardsPayer RequirementsPerformance Gaps
About the role
Key responsibilities & impact- 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.
Requirements
What you’ll need- Bachelor’s degree in Business Administration, Healthcare Administration, Health Information Management, or related field required.
- Minimum 3 years of patient access or healthcare revenue cycle experience required.
- Experience in registration, insurance verification, authorization workflows, or denial prevention strongly preferred.
- Prior auditing, quality review, or training/education support experience a plus.
- Certified Healthcare Access Associate (CHAA), Certified Healthcare Access Manager (CHAM), or Certified Revenue Cycle Specialist (CRCS) required or obtained within 1 year of hire.
Benefits
Comp & perks- Health insurance
- Professional development opportunities