Patient Access Quality & Compliance Specialist

Capital Health; Northern (KY); Hybrid; USD 30,000 - 39,000; Full time

Benefits offered by this job

Medical Plan

Prescription drug coverage

Dental Plan

Vision Plan

FSA - Healthcare

FSA - Dependent Care

Paid Time-Off Program

Retirement Savings Plan

Disability Benefits – STD/LTD

Employee Assistance Program

Job summary

Capital Health is seeking a Patient Access Analyst to support registration analysis and performance improvement. The role involves chart reviews to detect variations in quality registrations and ensures accuracy, compliance, and accountability across the department.

Responsibilities include communicating findings to management, auditing registration data, and supporting process improvements while maintaining up-to-date knowledge of insurance verification and authorization workflows within Cerner

Qualifications

• Requires HS diploma or equivalent and 3 years Patient Access experience.
• Strong communication skills to explain information to customers, patients, and staff.
• Excellent understanding of insurance concepts and health plan policies.

Responsibilities

• Review registrations to identify variations from quality and determine need for process improvement.
• Communicate findings to department management and supervise corrective actions.
• Audit registration and billing data for accurate demographics, diagnosis, and insurance information.

Skills

Communication skills

Insurance concepts

Customer service

Education

High school diploma or equivalent

Tools

Cerner registration functions

Insurance verification systems

Insurance Card Database

Job description

Capital Health is seeking a Patient Access Analyst to support registration analysis and performance improvement. The role involves chart reviews to detect variations in quality registrations and ensures accuracy, compliance, and accountability across the department.

Responsibilities include communicating findings to management, auditing registration data, and supporting process improvements while maintaining up-to-date knowledge of insurance verification and authorization workflows within Cerner