Patient Service Quality Assurance Specialist
Summary
A Patient Service Quality Assurance Specialist at MCR Health audits patient registrations, insurance verifications, scheduling, and front-office workflows at its Bradenton, FL operations, evaluates compliance with policies and regulations, and tracks corrective actions. The role is healthcare operations QA rather than software QA.
Why MCR Health?
A career at MCR Health offers exciting opportunities with one of the largest Healthcare companies in the areas we serve. Now, more than ever, we are looking for exceptional people to support our passion to provide "Exceptional Care to Everyone, Every Time", and to support our Mission to serve everyone. Whether you provide direct patient care or in other areas of our Company, you can find a home here. We invite you to be part of our Company where you can grow your career and serve with your heart.
In our time of Company growth, we seek a Quality Assurance Specialist.
Work Locations: Bradenton, FL
As part of this role, you will:
Quality Assurance & Auditing
- Conduct routine audits of patient registrations, insurance verifications, scheduling accuracy, financial counseling activities, telephone encounters, and front-office workflows.
- Evaluate compliance with organizational policies, procedures, regulatory standards, and quality expectations.
- Monitor performance metrics and identify trends, patterns, and areas requiring corrective action.
- Develop and maintain quality monitoring tools, audit forms, scorecards, and tracking systems.
- Perform root cause analysis related to workflow inconsistencies, recurring errors, and operational deficiencies.
- Provide audit findings, recommendations, and action plans to leadership.
- Track corrective actions and monitor improvements following coaching and training interventions.
- Assist with preparation for internal audits, accreditation reviews, and compliance assessments.
REQUIREMENTS & PREFERENCES
- Associate’s degree in healthcare administration, Business Administration, Quality Management, or related field preferred.
- High School Diploma or GED required.
- Maximum three (3) years of Patient Services, healthcare operations, insurance verification, patient access, or related healthcare experience.
- Minimum one (1) year of training, quality auditing, supervisory support, or process improvement experience preferred.
- Demonstrated knowledge of healthcare registration, scheduling, eligibility verification, and patient financial processes.