Shift:

Monday - Friday days

Location:

Singing River Pascagoula Hospital Job Description Summary Job Description Position Overview:

The Denials and Quality Assurance Analyst oversees duties associated with quality efforts relative to registration functions across the health system, including, but not limited to, the analysis and reporting of accuracy rates as well as denial trends with a focus on increased cash flow. He/She monitors and reports Patient Access Services' key performance indicators. The Denials and Quality Assurance Analyst, in conjunction with department leadership, conducts root cause analyses when issues resulting in increased denials or decreased accuracy/productivity are uncovered. He/She develops and conducts targeted training to address root cause issues and coordinates efforts with other departments as needed at the direction of Patient Access department leadership. The Denials and Quality Assurance Analyst monitors department work queues to identify trends and opportunities for improvement. He/She also maintains the department policy and procedure manual as well as a detailed record of improvement plans and achievements.

DISCLAIMER

This is not necessarily an exhaustive list of all responsibilities, duties, skills, efforts, requirements or working conditions associated with the job. While this intends to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different tasks performed as assigned.

Education:

High School diploma or equivalent required. College courses in healthcare, business, or finance preferred. Associate's degree preferred.

License:

N/A Certifications :

Must be recognized as an Epic Credentialed Trainer for Patient Access at (or within six (6) months of) job start. Must hold at least one of the following certifications at (or within twelve (12) months of) job start (must complete continuing education to recertify as required by the certifying entity): Certified Revenue Cycle Specialist - Institutional (CRCS-I) Certified Healthcare Access Associate (CHAA) Must have de-escalation training completed by the end of position orientation (90 days); must have appropriate level of de-escalation training.

Experience:

A minimum of three (3) years' experience in healthcare registration, patient accounting, or comparable field required.

Reports to:

Patient Access Services Manager Supervises:

None Physical Demands:

Work is moderately active: involves sitting with frequent requirements to move about the office, move about the facility, and to travel to another facility within the SRHS service area. Work involves exerting a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body. Work involves using many physical motions in performing daily work activities; subject to exposure of body fluids, sputum and tissues, which may carry the hazard of infectious disease.

Work involves using repetitive motions:

substantial movements of the wrists, hands, and or fingers while operating standard office equipment such as computer keyboard. Work involves being able to perceive the nature of sound at normal speaking levels with or without correction; the ability to make fine discriminations in sound. Work requires close visual and acuity and the ability to adjust the eye to bring an object into sharp focus, i.e. shift gaze from viewing a computer monitor to forms/printed material that are closer to compare data at close vision. Must be able to be active for extended periods of time without experiencing undue fatigue. Must be able to work schedules assigned with the understanding that changes may be instituted according to the needs of the hospital for off days, shifts or weekends.

Mental Demands:

Must demonstrate keen mental faculties/assessment and decision making abilities. Must demonstrate superior communication/speaking/enunciation skills to receive and give information in person and by telephone. Must demonstrate strong written and verbal communication skills. Must possess emotional stability conducive to dealing with high stress levels. Must demonstrate ability to work under pressure and meet deadlines. Attention to detail and the ability to multi-task in complex situations is required. Must have the ability to maintain collaborative and respectable working relationships throughout SRHS and other organizations.

Special Demands:

Must possess superior customer service skills and professional etiquette. Must possess proficient knowledge and ability to use a computer (must be keyboard proficient) and other office technology (i.e., telephone, fax, etc.), MS Outlook and Word. Job requires traveling throughout the service area with the employee providing his/her own transportation. Work requires the ability to function independently, adapt to workload demands, set priorities, and contribute to achieving both individual and departmental goals. Must demonstrate a basic understanding of medical terminology as it relates to patient registration. Must be able to understand all insurance matters regarding policy benefits, authorization requirements, insurance verification, and contractual allowances. Must be able to quickly gain a detailed understanding of complex computerized and non-computerized information. If you're looking for purpose, teamwork, and a place where what you do truly matters, you've found it. 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