Patient Access Services Quality Control Coordinator (Healthcare)
Job Summary:
Performs quality assurance audits ensuring completeness and accuracy of registrations in compliance with policies and procedures. Error reporting is submitted on a weekly basis with analysis of error trends by error type and employee along with error rates by type and for the department. Details of each area will accompany the reporting to be provided to the PAS Management team. Reviews and checks that the following criteria are correct and is accurately reflected in the system: patient's spelling of name, patient's/insured's date of birth, patient's address, patient's social security number, insurance/payor code, financial class, guarantor information, billing address, policy number, group number, documentation of verification, and release of verification. Be able to conduct root cause analysis of common error trends for process improvement purposes. Complete PAS projects and conduct employee training as required.
Experience/Qualifications:
Must have at least 2 years of patient access/ hospital registration experience and have consistently met or exceed quality and productivity standards.
Must demonstrate expert level knowledge in Patient Access workflows, policies, procedures and insurance payors.
Must have experience in Patient Access quality review processes.
Must function efficiently and independently.
Must be able to display and analyze large volumes of data into meaningful reports.
Strong interpersonal, written and oral communication skills for interacting with patients, payers, physicians and other customers.
Strong knowledge of Meditech and other information systems (Excel, Word, Visio and Powerpoint, etc.)
Education:
High School graduate or equivalent
College Degree and/or Certified Patient Account Technician certification, medical terminology course, management courses a plus
Licensure/ Certifications:
Must successfully complete and maintain LA City Fire Card certification at the time of hire or within the first 30 days of employment
Must successfully complete and maintain certification for VPH CPI- Non-violent Crisis Intervention within 30 days of employment.