Location: NHRMC Business Center A
Department: Patient Access
Full Time Equivalent: FTE: 1.000000
Work Type: 64 to 80 Hours Pay Period
Work Schedule: 8HR ROTATE - Rotating shifts
Exempt from Overtime: Exempt: No
The team member’s Number One job responsibility is to deliver the most remarkable patient experience, in every dimension, every time, and understands how to contribute to the health system’s vision of achieving that commitment to patients and families. At Novant Health, people are our business. We treat each other with respect and compassion. We embrace the differences in our strengths while fostering an environment of inclusion, empowerment, inspiration and courage. The team member will use Novant Health’s First Do No Harm (NHFDNH) safety behaviors/error prevention tools and high reliability strategies as appropriate to ensure a safe, remarkable patient experience.
The Patient Access Data Specialist role exists to support patient access by monitoring and working assigned work queues directly related to Patient Access errors. Ensures that all policies and procedures specific to account processes are appropriately followed. Utilizes the data that is reviewed to identify trends and educational opportunities and shares this information with Patient Access leaders. Assists in educating team members on quality errors and how to correct them. Communicates and meets with department leaders outside of Patient Access Services to review trends and errors their departments create. Participates in the communication between Patient Access and Patient Financial Services staff to strengthen and improve processes within the revenue cycle departments. Maintains current knowledge of Federal and State regulatory compliance guidelines and joint commission requirements.
Essential Functions • Process: Oversees, monitors, and accurately corrects accounts that show up on assigned work queues. Proven ability to work in all registration points within facility assigned and/or enterprise. Epic expertise in all registration workflows. Demonstrated high performance in improving work queue volume, root cause analysis of errors and appropriate resolution of errors. • Compliance: Ensures all appropriate documentation is complete and included on the patient chart, in accordance with Federal and State regulatory guidelines, and The Joint Commission requirements. • Customer Service: Coordinates and meets with Patient Access department leaders and other revenue cycle departments surrounding trended data gathered while monitoring assigned work queues. Meets with areas outside of RCS Services to communicate error trends identified in work queues. Maintains up to date knowledge and competency of a wide variety of third-party plans and insurance carriers, both participating and non-participating plans, which are complex and ever changing. Models an understanding of diversity by creating and maintaining an environment that supports and respects diversity. Acts with honesty and integrity with employees and stakeholders, showing and speaking with respect for the rights of others, human dignity, local culture, and Novant Health’s mission, vision, and values. • Financial: Ensures timeliness of work queue resolution and correction so that billing cycle is not delayed. • Quality Improvement: Utilizes trended data from work queue management to assist leaders with identifying and providing education and/or system enhancement opportunities to prevent errors from occurring. Complies with all organizational policies and procedures. Demonstrates a personal commitment to continuous quality improvement through active participation. Organizes and manages time effectively to optimize productivity. Meets identified goals in accordance with policy and procedures. • Professional: Possesses the ability to accept change in a positive manner and implement change with positive results. Demonstrates a positive image of a caring and concerned organization at all times. Maintains composure in difficult situations. • Communication: Responsible for providing feedback to the Patient Access management leaders. Participates and facilitates communication between Patient Access and other Revenue Cycle Departmental staff and management to strengthen and improve processes within the revenue cycle.
All other duties as assigned.
* CERTIFIED HEALTHCARE ACCESS ASSOCIATE
* High School or GED Required
Education: High School or GED Required
Experience: Minimum 2 years’ experience in patient access, registration, billing, cash collections, insurance and/or pre-certification in a medical environment required.
Licensure/Certification: NAHAM CHAA (required within one year of hire)
Additional Skills/Requirements (required) • Extensive knowledge of insurance plans, coordination of benefits and registration processes, in compliance with regulatory standards, emergency codes and appropriate responses, and applicable federal and state healthcare regulations. • Excellent interpersonal and communication skills; possesses experience and competency in customer relation skills. Ability to organize and prioritize work in a stressful environment with changing priorities. Must be able to interact with individuals of all cultures and levels of authority. • Requires the ability to maintain confidentiality. • Ability to work effectively as a member of a team and individually. • Good oral and written communication skills. • Good problem solving skills. • Basic medical terminology required. • Basic computer skills and experience in patient registration systems. • High level of working knowledge of Epic systems. • Ensures work queues and inaccurate data on patient accounts are addressed timely. • Ensures that accounts that should be fixed by operations are forwarded to the appropriate management or staff for timely changes or updates. • Works with other departments for reconciliation of data. • Maintains current knowledge of Federal and State regulatory compliance guidelines and JCAHO requirements. • Participates in communication between their leader other Revenue Cycle Departmental staff and management to help strengthen and improve processes within the revenue cycle. • Adheres to departmental objectives through cooperation and quality performance. • Detailed knowledge of government payors. • Ability to drive/travel to multiple facilities/locations as needed.