Specialist: Quality Assurance and Training - Patient Access

Job Details

Primary Function:

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.

Job Description

Education/Training/Experience:

BA or BS in related field preferred OR 3-5 years in Patient Access and/or Patient Accounting Experience.

Strong verbal and written communication skills required.

1-3 years lead or supervisory experience preferred.

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.

EPIC AND CERNER EXPERIENCE STRONGLY PREFERRED

Work Shift

Rotating (United States of America)

Worker Sub Type

Regular

Employee Entity

Albert Einstein Medical Center

Primary Location Address

559 W. Germantown Pike, East Norriton, Pennsylvania, United States of America

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.    

Jefferson is committed to providing equal educa­tional and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status. 

Benefits

Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.

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