Specialist: Quality Assurance and Training - Patient Access

Primary Function

Aid in facilitating Quality Assurance efforts, ensuring accuracy in Front End Revenue Cycle. This includes reviewing and improving front end billing edits, denials, zero accounts, and other relevant revenue opportunities. Coordinate strategy and process implementations, create payor update guides, and develop training manuals. Train new and existing registrars on front end denial and edit findings, identify ongoing issues, and propose solutions. Provide statistical data to management and present training programs.

Provide office support for computer applications, office procedures, and protocols. Generate detailed statistics to pinpoint areas needing improvement, track denial occurrences, and implement corrective measures to prevent future issues. Collaborate with internal and external clients.

Education/Training/Experience

• Bachelor’s or Master’s degree in a related field preferred
• 3-5 years of experience in Patient Access and/or Patient Accounting
• Strong verbal and written communication skills
• 1-3 years of lead or supervisory experience preferred
• Experience with Patient Registration, third party billing, precertification, and insurance verification
• Working knowledge of registration and billing regulatory requirements, including EMTALA
• Ability to prioritize tasks
• Excellent PC literacy skills
• Epic and Cerner experience strongly preferred

Work Shift

Rotating (United States of America)

Worker Sub Type

Regular Employee

Entity

Albert Einstein Medical Center

Primary Location

559 W. Germantown Pike, East Norriton, Pennsylvania, United States of America

Nationally Ranked

Jefferson, located in the greater Philadelphia region, Lehigh Valley, and Northeastern Pennsylvania, and southern New Jersey, is renowned for its commitment to high-quality, compassionate care, community health, professional development, and research.

Thomas Jefferson University

Founded in 1824, Jefferson comprises 10 colleges and three schools, offering 200+ undergraduate and graduate programs to over 8,300 students. It is the largest provider in the Philadelphia, Lehigh Valley, and northeastern Pennsylvania regions, serving millions of patients annually through 32 hospitals and numerous outpatient and urgent care facilities. Jefferson Health, a nationally ranked not-for-profit health system, provides comprehensive health coverage options in Pennsylvania and New Jersey. Jefferson Health Plans, established over 35 years ago, offers a wide range of health coverage options.

Equal Opportunity Employer

Jefferson is committed to providing equal educational and employment opportunities for all individuals without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability, or any other protected group or status.

Benefits

Colleagues at Jefferson enjoy a comprehensive benefits package, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, and voluntary benefits. Full-time and part-time colleagues have access to medical insurance. For more details, please visit the benefits section.