Specialist: Quality Assurance and Training - Patient Access
About The Position
Assist in facilitating the work of Quality Assurance, review and improve accuracy of Front End Revenue Cycle which includes front end billing edits, front end denials, zero accounts and any other front end related revenue opportunity. Participate in and coordinate the implementation of strategies and processes. Participation and coordination of creation of payor update guides. Participate and create training manuals. Provide training and mentoring to new registrars on all shifts and current registrars in front end denial and edit findings. Identify and report ongoing issues and possible resolutions. Provide statistics to management. Responsible for presenting standard training programs, prepares course materials, establishes lesson plans and administers qualifying tests. Provides office support for all computer applications, office procedures and protocols. Run detailed statistics to determine what areas need improvement, where denials are happening, determine how to correct processes to prevent, bring information to denial meetings. Work with internal and external customers.
Requirements
- Patient Registration, third party billing, precertification, insurance verification experience required
- Working knowledge of registration and billing regulatory requirements including EMTALA
- Ability to prioritize tasks
- Excellent PC literacy skills required
- Candidate must have a positive and strong work ethic
Nice To Haves
- BA or BS in related field preferred
- 1-3 years lead or supervisory experience preferred
- EPIC AND CERNER EXPERIENCE STRONGLY PREFERRED
Responsibilities
- Assist in facilitating the work of Quality Assurance
- Review and improve accuracy of Front End Revenue Cycle
- Participate in and coordinate the implementation of strategies and processes
- Participate and coordinate the creation of payor update guides
- Participate and create training manuals
- Provide training and mentoring to new registrars on all shifts and current registrars in front end denial and edit findings
- Identify and report ongoing issues and possible resolutions
- Provide statistics to management
- Present standard training programs
- Prepare course materials
- Establish lesson plans
- Administer qualifying tests
- Provide office support for all computer applications, office procedures and protocols
- Run detailed statistics to determine what areas need improvement, where denials are happening, determine how to correct processes to prevent, bring information to denial meetings
- Work with internal and external customers
Benefits
- medical (including prescription)
- supplemental insurance
- dental
- vision
- life and AD&D insurance
- short- and long-term disability
- flexible spending accounts
- retirement plans
- tuition assistance
- voluntary benefits
- tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
