Rush University Medical Center · 9 hours ago
Quality Specialist - Patient Access-20928
Chicago, IL
Full-time
Hybrid
Entry Level
$20.19/hr - $31.80/hr
1+ years expRush University Medical Center is a leading healthcare provider, and they are seeking a Quality Assurance Specialist to ensure Patient Access staff adhere to internal policies and regulatory requirements. The role involves monitoring quality, analyzing reports, and collaborating with various departments to support both onsite and remote staff.
Clinical TrialsEducationHealth CareMedicalTraining
Responsibilities
Provides on-going monitoring to compile and track performance at the team and individual level and provides trend data to the management team
Prepares and analyzes internal and external quality reports for management staff to review – High dollar accounts; Aged accounts; Guarantor change account; CEA report; Claim edits; DNB accounts
Works newborn accounts – monitoring the addition of insurance for newborn coverage
Reviews prior account notes for past due balances and any information that might aid in the account resolution process, as well as documents all encounters and actions
Follows up with responsible person managing account for updates to resolution
Monitors daily Metrics dashboard for additional accounts that will impact overall increase in unresolved accounts that would impact department’s dashboard metrics for DNFB, Claim edits, and CFB Days
Exercise exceptional customer service skills when communicating with our team members, as well as our internal customers
Finds resolution within the phone interaction satisfactory to the caller and/or having the knowledge when to escalate to their supervisor
Interacts and collaborates with numerous departments to resolve issues while also analyzing necessary information that will ensure hospital reimbursement
Initiates requests for financial Rush University Medical Center’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical, and professional behavior
Guards to assure that HIPAA confidential medical information is protected
Attends regular EPIC training sessions or other sessions conducted for the benefit of associates involved in the Financial Counseling functions at all levels
Other duties as needed and assigned by the supervisor/manager
Qualification
Required
High school graduate or equivalent
1-2 years of experience
Experience within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting
Must have a basic understanding of the core Microsoft suite offerings (Word, PowerPoint, Excel)
Excellent communication and outstanding customer service and listing skills
Basic keyboarding skills
Ability to analyze and interpret data
Critical thinking, sound judgment and strong problem-solving skills essential
Team oriented, open minded, flexible, and willing to learn
Strong attention to detail and accuracy required
Ability to prioritize and function effectively, efficiently, and accurately in a multi-tasking complex, fast paced and challenging department
Ability to follow oral and written instructions and established procedures
Ability to function independently and manage own time and work tasks
Ability to maintain accuracy and consistency
Ability to maintain confidentiality
Preferred
Associates Degree in Accounting or Business Administration
Working knowledge of medical terminology and anatomy and physiology is preferable
Company
Rush University Medical Center
Rush University Medical Center offers healthcare services for children and adults, clinical trials, medical education and training services.
10001+ employees
H1B Sponsorship
Rush University Medical Center has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (64)
2024 (85)
2023 (64)
2022 (81)
2021 (65)
2020 (66)
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Parkinson's Foundation
2023-07-25Grant
Leadership Team
Richa Gupta
Chief Operating Officer, Rush University Medical Group
Courtney Cole Kammer
Senior Vice President, Chief Human Resources Officer
Recent News
GlobeNewswire
2026-01-02
Company data provided by crunchbase