Coord. Data Quality- Patient Access

Umcelpaso; El Paso, Northern (TX, KY); Hybrid; USD 38,000 - 54,000; Full time

Job summary

Umcelpaso is seeking a Patient Financial Services reviewer to ensure patient accounts are complete, accurate, and billable according to payer requirements and government program regulations. You will audit, coordinate corrections prior to billing, and communicate audit findings to the appropriate units and management.

The role requires bilingual English/Spanish, ten-key by touch, and proficiency with Word, Excel, and graphics, plus knowledge of patient management and accounting systems.

Qualifications

• Three years experience in an insurance, managed care, private physician's office practice or hospital registration setting required.
• High school diploma or equivalent. Associate's Degree preferred.
• Bilingual English/Spanish required.

Responsibilities

• Reviews reports, demographic and financial information to ensure accounts are complete, accurate and billable.
• Maintains an audit process for errors and coordinates corrections prior to billing.
• Keeps open communication with Patient Financial Services units and management on audit findings.
• Maintains reports, spreadsheets and graphs to show department performance and improvement opportunities.

Skills

Ten-key by touch

Bilingual English/Spanish

Microsoft Word

Microsoft Excel

Graphics software

Patient management systems

Patient accounting systems

Communication with staff and patients

Basic computer literacy

Analytical problem solving

Education

High school diploma or equivalent

Associate's Degree preferred

Tools

Microsoft Word

Microsoft Excel

Graphics software

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:

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

Required Experience:

• A. Work Experience:
  Three years experience in an insurance, managed care, private physician's office practice or hospital registration setting required.
• B. License/Registration/Certification:
  None.
• C. Education and Training:
  High school diploma or equivalent. Associate's Degree preferred.