Patient Access Quality Assurance Specialist (68250)

JOB SUMMARY

The Patient Access Quality Assurance Specialist assists the Patient Access and Pre-Services leadership teams with quality initiatives to decrease access errors on the Bradley Physician Group (BPS) revenue cycle and to monitor our regulatory/compliance commitments. Responsibilities include analyzing reports relative to compliance and revenue cycle of BPS, contacting patients to resolve failed claim/bill issues, creation of reports outlining identified data, and providing error trending for departmental leadership to identify issues with teammate or workflow. The Patient Access Quality Assurance Specialist will prepare materials for training sessions, staff rounding to discuss errors and provide recommendations for improvement, and internet based learning modules. This role will also participate in the intake of new hires and their initial classroom based training, and the required onsite review to complete the training cycle, Bradley Physician Group (BPS) Policies and Procedures including but not limited to Patient Identification Bands, BPS Privacy Notice, Important Message from Medicare, BPS General Consent, Patient Rights and Responsibilities, etc.  Assists in working reports and work lists to correct errors or identify and resolve missing information.  May perform change patient status transitions, change patient status cancel and resume and change patient status revise.  Performs additional duties as assigned in a courteous and professional manner. 

The Patient Access Quality Assurance Specialist is trained to handle these responsibilities for All Patient Access Sub departments as defined below:

Bradley Physician Group

JOB QUALIFICATIONS

Education: Completion of a high school diploma required.  College level courses preferred.

Licensure: Certified Revenue Cycle Representative (CRCR) or Certified Healthcare Access Associate (CHAA) preferred.

Experience: At least 4 years of experience in a patient financial healthcare setting, along with in depth knowledge of health insurance plans and understanding of HIPPA regulations required.

Skills: Strong leadership, interpersonal and customer service skills required. The ability to multi-task and excellent organizational skills. Strong problem solving skills working independently and as a member of a team. Enhanced computer skills, PC and Windows experience, and Microsoft office; certification with Excel and PowerPoint highly preferred. Knowledge of medical terminology preferred. Requires the use of general office equipment including, but not limited to: computer, calculator, fax machine, printer, and copier.

PHYSICAL, MENTAL, ENVIRONMENTAL AND WORKING CONDITIONS

Required to work monthly posted schedule which may include, evenings, nights and weekends.

Position may require pushing a cart to patient bedside and prolonged periods of standing while registering patients on a mobile work station or sitting at a desk interviewing patients and typing information into a computer terminal.  Ability to lift, push, bend and stoop are necessary.  Stressful situations dealing with life or death situations of both illness and trauma are frequent occurrences.  Ability to complete registration process within required time frame.  Requires analytical skill such as problem analysis and initial action/resolution within department guidelines.