Reg PAS Subject Matter Expert / PAS OP Registration
Hartford HealthCare at Home
Reg PAS Subject Matter Expert / PAS OP Registration
Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization. With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system.
Position Summary: Reporting to the Regional Patient Access Manager, and matrixed to the Financial Clearance Analyst Manager. The Regional Patient Access SME Analyst is a subject matter expert for supported systems within Patient Access. The Regional Patient Access SME Analyst will engage with regional operational leaders to identify and evaluate denial prevention opportunities, along with financial risks and trends that will enable unit regional leaders to implement mitigation strategies. Recommends improvements to systems, standard work, policies and procedures based on site Gemba sessions, and evaluation of current state operational information for review. The position also oversees Patent Access processes to assist in accurate financial reimbursements and denial prevention through internal audits, and reviewing dashboard analytics in order to meet established departmental and organizational metrics.
Position Responsibilities: Key Areas of Responsibility
- Communicate clearly and effectively with colleagues, business partners and stakeholders related to Patient Access, Revenue Cycle, Finance and operational leaders for effective problem-solving, relating to Patient Access and takes appropriate actions to address issues involving registration insurance verification errors and workflow bottlenecks.
- Participate with management in strategizing for Process Improvement initiative
- Prepare and present regular Epic, Sift, Slicer-Dicer or Tableau reports to Regional PAS Managers with actionable insights and recommendations.
- Monitor key performance indicators (KPIs) for patient access services and implement best practices for quality assurance measures to maintain 25% best in class high standards of accuracy and efficiency.
- Monitor and track denials originating from patient access areas and look to improve workflows to reduce the volume
- Perform ongoing Quality Assurance analysis of HB, DNB, Claim edit Work queues and provide feedback to owning areas
- Be fully knowledgeable about all aspects of insurance verification
- Work closely with patient access teams to streamline processes, enhance patient experience, and improve workflow efficiency. Implement best practices and standard operating procedures across the region.
- Collaborate with co-workers and management to resolve issues that impacting departmental and or hospital operations in order to maximize reimbursement and minimize denials Perform other related duties as required
- Demonstrates willingness to accept additional responsibility or projects as requested to meet the needs of the department
- Performs other duties as assigned in the department and at organizational level.
Working Relationships: This Job Reports To: Regional Patient Access Manager
Qualifications
Education
High school diploma/GED equivalent or equivalent Experience
Minimum: This position requires a minimum of 3- 5 years' experience in a health care setting, EPIC, patient access revenue cycle management, and or related field.
Preferred: EPIC demonstrated knowledge and or proficiency
Language Skills
Excellent verbal and written communication skills
Knowledge, Skills and Ability Requirements
Able to multi-task and adapt to change
Excellent customer service skills
Strong analytical and problem-solving skills and the ability to make decisions independently
Excellent organizational, communicational and interpersonal skills.
Knowledge of insurance payor verification and reimbursement guidelines
Ability to travel to different facilities within the region as needed.
We take great care of careers. With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment.
RegularStandard Hours Per Week:40Schedule:Full-time (40 hours)
Hartford HealthCare at Home$160k - $230k
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