Reg PAS Subject Matter Expert / PAS OP Registration

Hartford Healthcare•Hartford, CT

1d•Hybrid

About The Position

The Regional Patient Access SME Analyst is a subject matter expert for supported systems within Patient Access. The Regional Patient Access SME Analyst will engage with regional operational leaders to identify and evaluate denial prevention opportunities, along with financial risks and trends that will enable unit regional leaders to implement mitigation strategies. Recommends improvements to systems, standard work, policies and procedures based on site Gemba sessions, and evaluation of current state operational information for review. The position also oversees Patent Access processes to assist in accurate financial reimbursements and denial prevention through internal audits, and reviewing dashboard analytics in order to meet established departmental and organizational metrics.

Requirements

Minimum: This position requires a minimum of 3-5 years’ experience in a health care setting, EPIC, patient access revenue cycle management, and or related field.
Excellent verbal and written communication skills
Able to multi-task and adapt to change
Excellent customer service skills
Strong analytical and problem-solving skills and the ability to make decisions independently
Excellent organizational, communicational and interpersonal skills.
Knowledge of insurance payor verification and reimbursement guidelines
Ability to travel to different facilities within the region as needed.

Nice To Haves

EPIC demonstrated knowledge and or proficiency

Responsibilities

Communicate clearly and effectively with colleagues, business partners and stakeholders related to Patient Access, Revenue Cycle, Finance and operational leaders for effective problem-solving, relating to Patient Access and takes appropriate actions to address issues involving registration insurance verification errors and workflow bottlenecks.
Participate with management in strategizing for Process Improvement initiative
Prepare and present regular Epic, Sift, Slicer-Dicer or Tableau reports to Regional PAS Managers with actionable insights and recommendations.
Monitor key performance indicators (KPIs) for patient access services and implement best practices for quality assurance measures to maintain 25% best in class high standards of accuracy and efficiency.
Monitor and track denials originating from patient access areas and look to improve workflows to reduce the volume
Perform ongoing Quality Assurance analysis of HB, DNB, Claim edit Work queues and provide feedback to owning areas
Be fully knowledgeable about all aspects of insurance verification
Work closely with patient access teams to streamline processes, enhance patient experience, and improve workflow efficiency. Implement best practices and standard operating procedures across the region.
Collaborate with co-workers and management to resolve issues that impacting departmental and or hospital operations in order to maximize reimbursement and minimize denials
Demonstrates willingness to accept additional responsibility or projects as requested to meet the needs of the department
Performs other duties as assigned in the department and at organizational level.