Revenue Cycle Quality and Standards Coach
University of VirginiaAbout the role
- Identify and develop best practice-based Patient Access/Pre-Arrival Unit workflows (workflows, SOPs, tools).
- Provide operational workflow training classes on a regular and as-needed basis for Patient Access/Pre-Arrival. Observe staff working on Patient Access/Pre-Arrival Unit functions in work setting and provide real-time support and training on best practice workflows
- Identify KPIs for Patient Access/Pre-Arrival Unit workflows and monitor data to identify adherence to operational workflows and areas needing additional support. Participate in root cause analysis initiatives for denials management.
- Audit Patient Access, Financial Counseling, Scheduling and Pre-Arrival operations to identify individual areas for improvement across Patient Access/Pre-Arrival Unit by auditing missing registration items WQ’s, claim WQ’s, and account WQ’s deemed useful for auditing team member performance.
- Pre-Registration
- Registration
- Collections
- RTE/Non RTE
- Insurance Verification/Eligibility
- Financial Assistance
- Medicaid Applications/HPE
- Monitor denial reports to identify opportunities for improvement based on registration and authorization denial trends.
- Serves as training representative for interdisciplinary projects as assigned. Subject matter expert stays up to date on all registration processes and workflows.
- Performs time studies, where applicable to identify issues in the process prohibiting productivity and/or causing excessive denials.
- Provides weekly reporting to Supervisors regarding quality and audit checks on employees.
- Manage IT tickets for improvements.
- In addition to the above job responsibilities, other duties as assigned.
MINIMUM REQUIREMENTS
Education: High School or equivalent required. Associate or Bachelor’s Degree preferred in education, health or IT related majors
Experience: 3 years relevant experience in a Patient Access Role, Pre-Arrival Unit Role, Epic Registration Training, Revenue Cycle at UVA Health System.
Licensure: Certified Healthcare Access Manager (CHAM) or Certified Healthcare Access Associate (CHAA) by the NAHAM, required within 18 months of hire date - NAHAM
PHYSICAL DEMANDS
Job requires standing for prolonged periods, frequently bending/stooping, reaching (overhead, extensive, and repetitive); Repetitive motion, computer keyboard. Proficient communicative, auditory and visual skills; Attention to detail and ability to write legibly; Ability to lift/push/pull 50 - 100lbs. May be exposed to noise, radiation, radioactive materials, blood/body fluids and infectious disease.
The University of Virginia, including the UVA Health System which represents the UVA Medical Center, Schools of Medicine and Nursing, UVA Physician’s Group and the Claude Moore Health Sciences Library, are fundamentally committed to the diversity of our faculty and staff. We believe diversity is excellence expressing itself through every person's perspectives and lived experiences. We are equal opportunity and affirmative action employers. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran status, and family medical or genetic information.
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