Baptist Health - Central Alabama
Posted 76 days agoVerified live 10h ago
Quality Assurance Auditor
Brief overview
Remote
UndergradOr in progress
3+ yrsMinimum
9 H-1B approvalsDept. of Labor
Patient Access workflowsRegistration accuracyFinancial clearanceInsurance entryPrior authorizationCPTICD-10Payer guidelinesMedical necessity requirementsDenial preventionAuditingQuality reviewTraining and education supportEHR/EMR systemsClaim scrubbersMicrosoft Office
About the company
Baptist Health - Central Alabamabaptistfirst.org/baptist-health-neurosurgery-clinic-and-baptist-health-physical-medicine-rehabilitation-clinic
Baptist Health is the largest health care system in Central Alabama and a proud affiliate of the UAB Health System.
Visa sponsorship history
2 years sponsoring, last filed FY2025
Data powered by U.S. Department of Labor. This does not guarantee sponsorship for this specific role.9H-1B approved
100%approval rate
4new H-1B hires
$370,000median wage / yr
H-1B Petition ApprovalsVisas USCIS actually granted: the strongest sign the company sponsors.
20233
20242
20254
LCA Certified ApplicationsAn early filing step, not a visa approval: it signals intent, not confirmed sponsorship.
20231
20252
Top sponsored roles
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Job description
Summary
Baptist Health is the largest healthcare system serving central Alabama, providing comprehensive hospital-based and outpatient services. The Quality Assurance (QA) Auditor is responsible for evaluating the accuracy, completeness, and compliance of Patient Access workflows to support high-quality registration practices and reduce preventable technical denials across Baptist Health.
Responsibilities
- Evaluating the accuracy, completeness, and compliance of Patient Access workflows
- Conducting comprehensive audits, including random reviews and targeted audits based on denial trends
- Ongoing monitoring following training interventions
- Partnering with Patient Access leadership, Denials Specialists, and the Training and Education team to identify performance gaps
- Validating staff competency and providing actionable feedback that drives continuous improvement
- Additional duties assigned that are within scope of the role
Skills
- 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
- Certified Healthcare Access Associate (CHAA), Certified Healthcare Access Manager (CHAM), or Certified Revenue Cycle Specialist (CRCS) required or obtained within 1 year of hire
- Strong understanding of Patient Access workflows, including registration accuracy, financial clearance, insurance entry, and prior authorization
- Working knowledge of CPT, ICD-10, payer guidelines, medical necessity requirements, and common denial types
- High attention to detail and ability to identify patterns, trends, and root causes
- Excellent communication skills and the ability to provide constructive, professional feedback
- Strong documentation and reporting skills
- Ability to maintain objectivity and confidentiality
- Proficiency with EHR/EMR systems, claim scrubbers, and Microsoft Office tools
- Experience in registration, insurance verification, authorization workflows, or denial prevention strongly preferred
- Prior auditing, quality review, or training/education support experience a plus
Qualifications
Must Haves
- 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
- Certified Healthcare Access Associate (CHAA), Certified Healthcare Access Manager (CHAM), or Certified Revenue Cycle Specialist (CRCS) required or obtained within 1 year of hire
- Strong understanding of Patient Access workflows, including registration accuracy, financial clearance, insurance entry, and prior authorization
- Working knowledge of CPT, ICD-10, payer guidelines, medical necessity requirements, and common denial types
- High attention to detail and ability to identify patterns, trends, and root causes
- Excellent communication skills and the ability to provide constructive, professional feedback
- Strong documentation and reporting skills
- Ability to maintain objectivity and confidentiality
- Proficiency with EHR/EMR systems, claim scrubbers, and Microsoft Office tools
Nice to Haves
- Experience in registration, insurance verification, authorization workflows, or denial prevention strongly preferred
- Prior auditing, quality review, or training/education support experience a plus
Benefits
- 2- Hybrid work arrangement
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