Children's Nebraska · 3 weeks ago
Revenue Cycle Training and Quality Specialist / FT
Omaha, NE
Full-time
Onsite
Mid Level
3+ years expChildren's Nebraska is the region's only full-service pediatric healthcare center, dedicated to providing excellent care for children. The Revenue Cycle Training and Quality Specialist is responsible for training, auditing, and enhancing the performance of the Central Billing Office staff to ensure compliance and improve customer satisfaction.
Health CareMedicalNon Profit
Responsibilities
Performs audits on CBO staff members for accuracy and compliance to department policies and procedures, and industry practices
Creates and updates Employee Reports on QA activities
Evaluates common errors and system limitations and reports timely to Supervisor/Manager of user
Collaborates with Technical Trainer to create tip sheets for all staff members to help eliminate common errors or to address the work around processes for system limitations
Develops error tracking system from data identified by CBO leadership for use in scoring individual employees
Provides timely feedback on QA activities to employees’ supervisors
Collaborates with CBO leadership, providers, and front line staff in enhancing and supporting department goals for increased performance and customer satisfaction
Responsible for providing industry metrics on productivity standards and establishes quality assurance protocols
Assists operations management with training needs, coordinating enhancements or needs assessments that are consistent with department policies and procedures
Works collaboratively with CBO leadership in the development of PI for those staff members that do not meet the minimum requirements on the individual QA scores
Participates in performance improvement through assisting with the implementation of policies and procedures, productivity standards, planning and implementing change and maintaining and improving productivity through attendance and participation in staff meetings, committees, tasks forces, cross-functional groups, projects and discussion with hospital and medical staff as observed by supervisor
Demonstrates thorough knowledge of patient accounting/physician billing, and quality monitors while maintaining comprehensive knowledge of 3rd party billing requirements and reimbursement principles
Participates in the validation of IT applications with implementation resources to assure understanding of application functionality and workflow for optimal QA evaluation
Regular attendance at work is an essential function of the job
Perform physical requirements as described in the Physical Requirements section
Qualification
Required
High School Diploma or GED equivalent Required
Associate's Degree in Billing, Coding, Business, Finance, or related field Required
Equivalent of 2 years of experience working with commercial, government billing or reimbursement processes may be substituted for education. Required
Minimum 3 years experience in healthcare administration, healthcare management, or related field Required
Preferred
Minimum 2 years experience training Preferred
Company
Children's Nebraska
At Children’s Nebraska, our mission is to improve the life of every child through exceptional care, advocacy, research and education.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
G
Gary Perkins
President & CEO
Recent News
Silicon Prairie News
2025-05-17
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