Patient Access Services Quality Control Coordinator (Healthcare)

Job Summary

As a Patient Access Services Quality Control Coordinator, you will be responsible for ensuring the accuracy and completeness of patient registrations and financial data. You will conduct quality assurance audits, track error trends, and support process improvements to enhance registration efficiency and accuracy. You will also provide training, mentorship, and reporting to ensure compliance with hospital policies, insurance verification processes, and financial classifications.

Responsibilities

Quality Assurance & Data Accuracy

• Conducts weekly quality assurance audits to ensure completeness and accuracy of patient registrations.
• Reviews and verify patient registration details, including name spelling, date of birth, social security number, insurance details, financial class, and guarantor information.
• Identifies, corrects, and reports errors to supervisors and management for continuous process improvement.
• Provides trend analysis of error rates by error type and employee, submitting detailed reports to the PAS management team.

Process Improvement & Training

• Conducts root cause analysis of recurring registration errors and recommends solutions for process improvement.
• Trains and mentors Patient Access Services (PAS) staff on best practices in registration accuracy, insurance verification, and system documentation.
• Assists in the development and implementation of new policies and procedures to enhance data integrity.
• Supports PAS project management and training initiatives as required.

Operational Support & Team Collaboration

• Assists with registration workflows by covering lunch breaks and high-volume times as needed.
• Ensures timely documentation of insurance verification and release of information in compliance with hospital standards.
• Works in collaboration with billing and financial services to ensure registration errors do not impact reimbursement.
• Acts as a liaison between PAS, billing, and insurance providers to streamline processes and improve financial clearance rates.

Reporting & Compliance

• Submits weekly and monthly reports identifying error trends, root causes, and process improvement opportunities.
• Ensures compliance with Meditech system policies, insurance payer regulations, and financial classifications.
• Maintains confidentiality and adheres to HIPAA regulations regarding patient information.
• Actively participates in performance improvement projects and hospital-wide quality initiatives.

Experience

• Minimum of two (2) years of experience in Patient Access Services or hospital registration.
• Demonstrated ability to meet or exceed quality and productivity standards in patient registration.
• Expert-level knowledge of patient access workflows, insurance payors, and quality review processes.
• Experience with Meditech and other patient information systems (Excel, Word, Visio, PowerPoint, etc.).

Skills

• Strong analytical and problem-solving skills to identify and resolve registration errors.
• Ability to compile and analyze large data sets to generate meaningful reports.
• Excellent communication and interpersonal skills for interactions with patients, payers, physicians, and hospital staff.
• Strong organizational and time management skills with the ability to work independently and efficiently.

Education

• High school diploma or equivalent required.
• College degree and/or Certified Patient Account Technician (CPAT) certification preferred.
• Medical terminology and management courses are a plus.

Licensure/ Certification

• LA City Fire Card (must be obtained within 30 days of hire).
• VPH CPI - Non-violent Crisis Intervention certification (must be obtained within 30 days of hire).

Salary Range: $24.21 - $27.98