Patient Services QA Coordinator

Description

JOB SUMMARY

Responsible for conducting quality audits on patient services and bills within 48 hours of discharge, correcting errors, and noting trends. Also, QA is responsible for providing web-based training from remote location.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Include the following. Others may be assigned.

• Completes quality assurance (QA) audits of specified number of patient accounts within XX hours of registration and prior to bill drop responsible for conducting quality audits on patient services and bills within 48 hours of discharge, correcting errors, and
• Resolves identified billing errors prior to bill drop as required.
• Audits accounts to ensure:
  • all demographic, insurance payor information, and signatures are required and documented correctly;
  • compliance standards in accordance to federal and agency regulations;
  • all benefits and authorizations are obtained and documented;
  • quality assurance standards are met.
• Reviews QA statistical data with Patient Access management & department heads, facilities and training on a regular basis to identify problems and trends and recommend solutions.
• Facilitates remote and on-site training based on QA trends to increase proficiency with departmental standards and to improve billing integrity.

KNOWLEDGE, SKILLS, ABILITIES

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Excellent verbal and written communication skills
• Solid problem-solving capabilities to identify data element and compliance issues, prepare audit reports, and identify trends
• Demonstrate proficiency of Microsoft software products and personal computer. QA software experience is preferred.
• Ability to pay attention to details.

Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.

EDUCATION / EXPERIENCE

Include minimum education, technical training, and/or experience preferred to perform the job.

• High school diploma or equivalent
• Some college, 4 year college degree in Healthcare Administration, Business or related field preferred
• Minimum of 2 years of experience in Patient Access

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Must be able to work in sitting position, use computer and answer telephone
• Ability to travel
• Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Office Work Environment
• Hospital Work Environment

OTHER

• Travel required, as needed

As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!

Compensation and Benefit Information

Compensation

• Pay: $15.80 - $23.70 per hour. Compensation depends on location, qualifications, and experience.
• Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
• Conifer observed holidays receive time and a half.

Benefits

Conifer offers the following benefits, subject to employment status:

• Medical, dental, vision, disability, and life insurance
• Paid time off (vacation & sick leave) – min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
• 401k with up to 6% employer match
• 10 paid holidays per year
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
• For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.