Patient Access Analyst

Overview

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.6 million patient visits annually. It is one of the nation’s leading health systems with nearly 50,000 employees and physicians. Fourteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!

 

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

 

Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf

Responsibilities

This position will drive business value by supporting Patient Access teams across the organization in the analysis of Clearance and AHIQA data. Analysis of data will include but is not limited to registration accuracy and eligibility verification. This position will assist Patient Access teams across the organization improve all Clearance and AHIQA metrics that are below the standard. Proactively identify the need for additional eligibility payers and AHIQA rules for registration. This position will field and respond to all incoming questions regarding Clearance and AHIQA. This position will assist in the delivery of process improvement opportunities by applying analytical and critical thinking to generate innovative and practical solutions that drive improvements in Patient Access. This position will be able to function as the Subject Matter Expert (SME) for Clearance and AHIQA related operations and for strategic project optimizations. Additionally, the Patient Access Analyst will serve as the vendor liaison and point of contact between facilities and departments to ensure all issues are being resolved and all pending project requirements are being met.

Qualifications

Required qualifications:

Minimum of 2 years of experience in Revenue Cycle processes and applications such as billing, coding, reimbursement methodologies, claim denial, etc.

Proficient in business software applications.

Working knowledge of Change Health Care Clearance.

Ability to use independent judgement and decision-making.

Possesses project management, change management and analytical skills necessary to develop and implement appropriate changes.

Preferred qualifications:

Bachelor's degree in Business, Finance, Business Analytics, Healthcare Administration or other healthcare related profession.

 

Prime Healthcare offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options.  Benefits may vary based on employment status, i.e. full-time, part-time, per diem or temporary.  A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $65,560.00 to $97,760.00 on an annualized basis. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.