Compliance & Education Auditor, Patient Financial Services, Full Time,FirstShift

UC Health; Oregon; Hybrid; USD 42,000 - 64,000; Full time

Job summary

UC Health in Oregon is seeking an Insurance Verification Audit/Pre-Registration role to review patient demographic, financial, benefit, and insurance verification data for accuracy and completeness.

The position supports audit processes, staff education, and compliance with payor requirements, while maintaining current knowledge of verification tools and procedures within a busy patient access environment.

Qualifications

• High School diploma or GED required.
• 1-2 years of experience in Patient Access, Insurance Verification, Registration/Pre-Registration, and Benefit Collection.
• Preferred: 3-5 years experience in Patient Access, Insurance Verification, Registration/Pre-Registration, and Benefit Collection.

Responsibilities

• Auditing: Performs quality audits on demographic, financial, benefit collection and insurance verification documentation. Records audit information and distributes to management and staff. Meets with staff as needed to discuss audit results.
• Training and education: Develops and implements training material/classes for staff; assists in development and updating of procedure manuals; serves as resource for staff on system issues, benefit & insurance verification and proper documentation.
• Meetings and Communication: Attends staff meetings, payor meetings; assists in relaying process change information to staff.
• Professional Development: Maintains skills to function as insurance verification associate.
• Other duties as assigned: Other tasks as assigned.

Education

High School Diploma or GED

Job description

At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering.As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors.UC Health is committed to providing an inclusive, equitable and diverse place of employment.

Reviews the work of unit staff for accuracy of data entry, and completeness of the demographic, financial and benefit information collected for each patient. Provides feedback to staff on audit outcomes, assists in development and implementation of educational material. Goal is to minimize financial risk to organization by ensuring accurate and complete insurance verification.

Responsibilities

• Auditing:Performs quality audits on demographic, financial, benefit collection and insurance verification documentation Records audit information and distributes to management and staff. Meets with staff as needed to discuss audit results. Evaluates overall department results looking for trends and education opportunities.
• Training and education:Develops and implements training material/classes for staff Assists in development and updating of procedure manuals Serves as resource for staff on system issues, benefit & insurance verification and proper documentation Maintains knowledge of payor websites, and on line verification tools:
• Meetings and Communication:Attends staff meetings, payor meetings Assists in relaying process change information to staff.
• Professional Development:Maintains skills to function as insurance verification associate.
• Other duties as assigned:Other tasks as assigned.

Qualifications

• Minimum Required: High School Diploma or GED.
• Minimum Required: 1 - 2 Years equivalent experience working in Patient Access working, Insurance Verification, Registration/Pre-Registration, and Benefit Collection.
• Preferred: 3 - 5 Years equivalent experience working in Patient Access working, Insurance Verification, Registration/Pre-Registration, and Benefit Collection.