Patient Access Quality Specialist

Health Partners of Western Ohio•Toledo, OH

29d•Onsite

About The Position

The Patient Access Quality Specialist ensures high-quality performance and compliance within patient access operations. The Patient Access Quality Specialist focuses on auditing, monitoring, and improving patient access processes, including registration accuracy, insurance verification, scheduling, information services, and patient experience. The specialist provides data-driven insights, collaborates with teams to implement improvements, and ensures adherence to organizational and regulatory standards.

Requirements

Associate’s Degree and at least three years of previous experience with healthcare scheduling protocols and/or billing practices.
Successful completion of in-house training.
Three years of previous experience with billing practices and healthcare scheduling protocols.
Strong organizational skills.
Sharp critical thinking skills.
Analytical capabilities.
Strong and effective leadership skills.
Proven capability to make decisive and effective decisions.
Presentation and educational skills.
Ability to distinguish letters and symbols and utilize telephones, computer terminals, fax machines, and copiers.

Nice To Haves

Eligible to apply for the Emerging Leaders Program after 1 year of Employment

Responsibilities

Conducts regular audits of patient access functions such as registration, scheduling and insurance verification.
Reviews documentation for accuracy, compliance, and completeness.
Generates quality performance reports and metrics.
Analyzes data on patient access functions.
Evaluates patient and provider feedback related to patient access services.
Identifies errors and inefficiencies and implements performance improvement methodology to address identified issues.
Develops and delivers targeted training based on quality reports and audit findings.
Works with teams to address and resolve patient concerns regarding registration, scheduling, or insurance issues.
Trains new Center Receptionists on workflow and Electronic Health Record.
Collaborates with staff to implement process changes that enhance efficiency and patient satisfaction.
Partners with cross-functional teams, including patient access, revenue cycle, and clinical, nursing, and quality to streamline workflows.
Collaborates with external customers, including payers, to maintain relationships, analyze provided data to identify areas for improvement, gather feedback, and implement actions to enhance performance.
Recognize and advocate for the critical role of patient access team members, emphasizing its’ impact on relationships with both internal and external customers.
Acts as a resource and advocate for quality improvement initiatives.
Communicates effectively with others on issues, data, procedures, and resolutions related to patient access.
Maintains knowledge base in coding, billing, and Federally Qualified Health Center billing procedures.
Meets patient experience goals and expectations related to patient access.
Maintains strictest confidentiality.
Travels to all Health Partners’ locations, as necessary.
Demonstrates ability to manage change and assists others within the organization to navigate changes.
Performs other duties as assigned.