Patient Access Services Quality Control Coordinator jobs in United States
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Valley Presbyterian Hospital · 3 months ago

Patient Access Services Quality Control Coordinator

Valley Presbyterian Hospital is a beacon of health in the San Fernando Valley, committed to providing outstanding care and improving community health. The Patient Access Services Quality Control Coordinator will ensure the accuracy and completeness of patient registrations and financial data, conduct quality assurance audits, and support process improvements.

Health CareHealth DiagnosticsHospital

Responsibilities

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
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
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
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
Review insurance cards and financial information to ensure accurate documentation
Appropriately assigns the correct payer, financial class, and billing information for each patient
Monitors registration errors and provides real-time feedback for performance improvement
Provide training and in-service education to PAS staff as needed
Identifies repetitive registration errors and works with leadership to implement corrective actions
Compiles and analyzes error reports, identifying areas for process enhancements
Maintains a professional and cooperative work environment, fostering teamwork and positive interactions
Provides exceptional customer service by responding to patients courteously and respectfully
Supports collaboration with billing, financial counseling, and insurance providers to resolve discrepancies
Ensures adherence to hospital policies, payer guidelines, and Meditech data standards
Submits detailed reporting on error rates, trends, and department performance
Maintains strict confidentiality of all patient and employee information in compliance with HIPAA regulations

Qualification

Patient Access ServicesQuality AssuranceMeditechData AnalysisProcess ImprovementCommunication SkillsOrganizational SkillsProblem-Solving SkillsTime ManagementTeam Collaboration

Required

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.)
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
High school diploma or equivalent required
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)

Preferred

College degree and/or Certified Patient Account Technician (CPAT) certification preferred
Medical terminology and management courses are a plus

Benefits

Supportive Environment: We prioritize teamwork, professional growth, and a positive work culture.
Impactful Work: Your role will directly contribute to the smooth operation of our organization.
Professional Development: We offer continuous learning and advancement opportunities to help you grow in your career.

Company

Valley Presbyterian Hospital

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Valley Presbyterian Hospital is a healthcare firm that provides maternity, radiology, surgical, rehabilitation, heart and vascular services.

Funding

Current Stage
Late Stage

Leadership Team

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Lori Cardle
Executive Vice President, Chief Operations Officer
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Tanzaneka Buckor MHI,BSN,RN, ACHE
Interim Chief Nursing Officer
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Company data provided by crunchbase