QUALITY CARE COORDINATOR-LGH PFS CENTRAL CALL CENTER-FULL TIME (JOB ID: 4544)
Location: 900 BUILDING
Employment Status: FT
The Quality Care Coordinator ensures patient and financial data is accurate and complete as a result of staff adhering to expected workflows, internal policies, and external regulations and requirements. Performs quality monitoring activities and as necessary, develops and provides straining across Patient Access within the system. Keeps Patient Access leaders informed of quality measuring results, identifies training needs and staff education progress. In addition, coordinates hiring, training, and performance management of the Patient Access temp pool team members.
SUPERVISORY RESPONSIBILITIES & ESSENTIAL DUTIES/RESPONSIBILITIES:
Quality Care Coordinator: 1. Reviews, monitors and documents team member performance throughout Patient Access by assessing competencies through quality audits. Demonstrates ability to recognize and establish priorities. 2. Documents performance deficiencies and makes training recommendations based on audit results. 3. Analyzes trends in team member performance to identify areas where training, revised workflows or other factors could positively affect Registration accuracy efficiency, increase point of service cash, etc. 4. Performs additional audits and completes special projects as necessary. 5. Conducts new hire Patient Access Orientation. 6. Develops and implements any relevant Patient Access training and or educational programs and ensures team members understanding of the above. 7. Responsible for daily, monthly Patient Access quality assurance reporting system-wide. 8. Communicates effectively to Patient Access leaders system wide on trends, additional training needs, etc. 9. Provides research and administrative support for special projects. 10. Available as a resource for all Cerner system go-lives. 11. Responsible for communicating payer and system changes are communicated to all Patient Access areas in collaboration with on-site leadership. 12. Provides as a liaison between Patient Access sites, IT, Patient Accounts, Medical Records, and other departments to resolve system and process errors. 13. Coordinates hiring, training, deployment and performance management of the Patient Access temp pool team members for the following areas: Central scheduling, Access and Ed locations of LGMC currently, with the understanding of the possibility of expanding system wide.
QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION/TRAINING/EXPERIENCE: Minimum high school graduate required. Minimum 2 years of advanced education with courses in business management, or 5 years of training experience required. Minimum of 5 years of Revenue Cycle experience required. Familiar with Accounts Receivable Management and Trending, working with various software systems. Experience in making recommendations for process improvement. Organization - proactively prioritizes needs and effectively manages resources. Communication - communicates clearly and concisely orally and via written correspondence. Policies & Procedures - articulates knowledge and understanding of organizational policies, procedures and systems. PC skills - demonstrates proficiency in Microsoft Office applications and revenue-cycle software. Must be able to type 40 wpm. Previous experience in hospital and/or other healthcare providers required. 2
PERFORMANCE REQUIREMENTS: Must comply with all Standards of Behavior. Adhere to all requirements, policies, procedures and mandatory training as identified by LGMC. Must understand Medicare, Medicaid, and commercial billing requirements and related federal and state regulations. APTITUDES: Clear, effective communication skills. Problem solving skills. Knowledge of medical terminology. Detail orientation.
EQUIPMENT OPERATED: Computer
PHYSICAL DEMANDS AND WORKING CONDITIONS: Sits and walks throughout the day. Handling office supplies and equipment. Speaking and listening skills are important to communicate effectively. Works inside. Medium Work as defined by the U.S. Department of Labor constitutes a maximum lift of 21-50 pounds on occasion and/or a maximum lift of 11-25 pounds on a frequent basis.