• Patient Access Quality-Education Coordinator

    St. Bernard's Medical Center (Jonesboro, AR)


    + JOB REQUIREMENTS

    + Education

    + College degree preferred and/or 5 plus years experience in Patient Access or Revenue Cycle Operations. Will obtain CHAA certification within 1 year.

    + Experience

    + Five years of Patient Access experience. Demonstrated proficient knowledge of all Patient Access functions. Knowledge of all payer specific guidelines, ICD10 and CPT codes and guidelines, knowledge of the reimbursement, denial, and appeal process. Demonstrated ability to educate and understand how people learn. Demonstrated ability to lead staff and manage processes. Must demonstrate a strength in implementing process improvement initiatives. Proficient in data manipulation, report writing, spreadsheet and database applications. Must have meticulous follow up skills. Requires excellent written and verbal communication skills. Must be able to act independently.

    + Physical

    + This is a safety sensitive position. Please see the St. Bernards Substance Abuse Policy for further information.

    + Normal hospital environment. Position requires normal or corrected eyesight, hearing within normal range, frequent walking, and sitting 50% of the time. Oral communication. Operates computer and standard office equipment. Occasional walking, bending and lifting of 5-10 pounds.

    + JOB SUMMARY

    + Will serve as the organization’s resource for scheduling, pre authorization, eligibility, and registration and will be responsible for overseeing all training in these systems. Will ensure accuracy of patient information through education (one-on-one, group training sessions, self-learning packets, on-line education, etc.), auditing, and being a resource to all patient access areas. Responsible for training all schedulers, pre authorization reviewers, and registrars. Responsible for the daily operations of the PCP Analyst, Patient Access Technicians, and the Order Analyst positions. This position is also responsible for appealing pre-authorization and eligibility denials while tracking and trending for educational purposes. Responsible for Coverage Discovery processes-updating accounts, track findings, and trending for educational and process improvement purposes. Will work closely with physician offices, insurance companies, HIM, Business Office, nursing and ancillary areas, and other areas to coordinate patient throughput, improve scheduling, order analyst, pre authorization, and registration accuracy, assure insurance process flows smoothly, maximize reimbursement, provide education, and to ensure excellent customer service. This position requires knowledge of hospital and departmental policies and procedures. Will assist Patient Access Systems Manager with IT Systems and special projects. Ability to manage competing priorities, multi-task with results oriented outcomes and work in a fast paced environment. Assists with establishing and compliance with all departmental policies. Routinely, assigns and responsibly directs staff. This position is required to utilize independent judgment.