Coord. Data Quality- Patient Access

University Medical Center of El Paso (UMC); El Paso (TX); On-site; USD 38,000 - 52,000; Full time

Job summary

University Medical Center of El Paso (UMC) is seeking a billing/audit specialist to ensure patient accounts are complete and billable per payer requirements. The role maintains audits, coordinates corrections before billing, and communicates findings with Patient Financial Services and management.

Qualifications include three years in hospital/insurance settings, a high school diploma or equivalent (associate degree preferred), and bilingual English/Spanish with strong analytical and PC skills.

Qualifications

• Three years experience in an insurance, managed care, private physician's office practice or hospital registration setting.
• High school diploma or equivalent; Associate's degree preferred.

Responsibilities

• Review reports and demographic/financial information to ensure accounts are complete and billable.
• Maintain an audit process for error types and service levels.
• Coordinate corrections to accounts prior to billing.
• Communicate with Patient Financial Services and management on audit findings.
• Maintain reports, spreadsheets, and graphs to show performance and improvement opportunities.

Skills

Ten-key by touch

Bilingual English/Spanish

Analytical and problem-solving skills

Communication and interpersonal skills

PC proficiency

Education

High school diploma or equivalent

Associate's Degree preferred

Tools

Microsoft Word

Microsoft Excel

Graphics software

Job description

Job Description

Reviews reports, demographic and financial information to ensure that patient accounts are complete, accurate, and billable in accordance with applicable insurance payer requirements and/or federal, state and local government program regulations Maintains an audit process for type of error, per Associate, and service. Coordinates the correction/updates to accounts prior to billing. Keeps open communication with respective Patient Financial Services unit(s) and Management on all audit findings. Maintains reports, spreadsheets and graphs to show the department performance and improvement process opportunities.

Summary

Job Description

Reviews reports, demographic and financial information to ensure that patient accounts are complete, accurate, and billable in accordance with applicable insurance payer requirements and/or federal, state and local government program regulations Maintains an audit process for type of error, per Associate, and service. Coordinates the correction/updates to accounts prior to billing. Keeps open communication with respective Patient Financial Services unit(s) and Management on all audit findings. Maintains reports, spreadsheets and graphs to show the department performance and improvement process opportunities.

Required Skills

• Ten-key by touch required.
• Bilingual English/Spanish required
• PC experience with Microsoft Word, Excel, and graphics.
• Knowledgeable of the Patient Management and Patient Accounting systems.
• Ability to deal tactfully with Associates, patients, visitors and the general public.
• Basic computer literacy and keyboarding skills required.
• Analytical and problem-solving skills required.

Required Experience

• Work Experience:

Three years experience in an insurance, managed care, private physician's office practice or hospital registration setting required.

License/Registration/Certification

• None.

Education and Training

• High school diploma or equivalent. Associate's Degree preferred.