What are the responsibilities and job description for the Patient Access Quality Assurance Specialist - FT - Varies position at Hamilton Medical Center Inc?
JOB SUMMARY
The Patient Access Quality Assurance Specialist assists the Patient Access and Pre-Services leadership teams with quality initiatives to decrease access errors on the Hamilton Medical Center (HMC) revenue cycle and to monitor our regulatory/compliance commitments. Responsibilities include analyzing reports relative to compliance and revenue cycle of HMC, contacting patients to resolve failed claim/bill issues, creation of reports outlining identified data, and providing error trending for departmental leadership to identify issues with teammate or workflow. The Patient Access Quality Assurance Specialist will prepare materials for training sessions, staff rounding to discuss errors and provide recommendations for improvement, and internet based learning modules. This role will also participate in the intake of new hires and their initial classroom based training, and the required onsite review to complete the training cycle, Hamilton Medical Center (HMC) Policies and Procedures including but not limited to Patient Identification Bands, HMC Privacy Notice, Important Message from Medicare, HMC General Consent, Patient Rights and Responsibilities, etc. Assists in working reports and work lists to correct errors or identify and resolve missing information. May perform change patient status transitions, change patient status cancel and resume and change patient status revise. Performs additional duties as assigned in a courteous and professional manner.
The Patient Access Quality Assurance Specialist is trained to handle these responsibilities for All Patient Access Sub departments as defined below:
- Hamilton Medical Center Main Admissions
- Emergency Care Department
- Turner Womens Center
- Hamilton Diagnostic Center
- Peeples Cancer Institute
JOB QUALIFICATIONS
Education: Completion of a high school diploma required. College level courses preferred.
Licensure: Certified Revenue Cycle Representative (CRCR) or Certified Healthcare Access Associate (CHAA) preferred.
Experience: At least 4 years of experience in a patient financial healthcare setting, along with in depth knowledge of health insurance plans and understanding of HIPPA regulations required.
Skills: Strong leadership, interpersonal and customer service skills required. The ability to multi-task and excellent organizational skills. Strong problem solving skills working independently and as a member of a team. Enhanced computer skills, PC and Windows experience, and Microsoft office; certification with Excel and PowerPoint highly preferred. Knowledge of medical terminology preferred. Requires the use of general office equipment including, but not limited to: computer, calculator, fax machine, printer, and copier.
