What are the responsibilities and job description for the Quality Associate, Clinic Overhead, Full Time, Day Shift position at Adventist Health?
Adventist Health Ukiah Valley has been deeply connected to the community we serve since 1956. We are comprised of a 50-bed acute care medical center, level IV trauma center, level II intensive care nursery services, extensive physical rehabilitation program, outpatient surgery and diagnostic center and advanced wound care center. Ukiah is a unique small town that charms you with its rich character, arts, vineyards and natural surroundings. Ukiah beckons you to explore all that the valley has to offer amidst our 300 days of sunshine each year. We are also conveniently located just two hours north of San Francisco and 45 minutes from the Pacific Coast.
Job Summary:
Maintains responsibility for auditing all registration charts. Coordinates the implementation and maintenance of departmental information system. Documents, implements, and tests existing programs, reports, and dictionaries; coordinates upgrade enhancements to existing program.
Job Requirements:
Education and Work Experience:
- High School Education/GED or equivalent: Preferred
- Associate's/Technical Degree or equivalent combination of education/related experience: Preferred
- Electronic medical records experience: Preferred
- Data analysis and database experience: Preferred
Essential Functions:
- Registers patients using two patient identifiers in a timely and efficient manner. Validates demographics and obtaining Primary Care Physician. Obtain signatures on all appropriate documents. Delivers paperwork & armband/labels to unit/patient. Verifies financial information, selects appropriate financial class, follows EMTALA guidelines if appropriate. Follows up on incomplete patient information not given at time of service. Documents patients account notes appropriately, accurately and thoroughly in accordance with established policies and procedures.
- Verifies insurance using all sources provided. Obtains authorization for required services. Ensures proper documentation in RCI. Works closely with Utilization Management & Physicians offices to insure accurate data is available. Works carefully with attention to detail. Documents patients account notes appropriately, accurately and thoroughly in accordance with established policies and procedures.
- Collects co-pays & deductibles. Sets payment arrangements with patients. Estimates patient's responsibility. Documents patients account notes appropriately, accurately and thoroughly in accordance with established policies and procedures. Offers appropriate Financial Assistance.
- Assures accuracy and completion of all demographic information and insurance information on the face sheet with special attention to the payer code and financial class. Accesses AETS and make all necessary corrections in relevant computer systems. Makes corrections online and generates new paperwork if necessary. Records individual registrars errors. Notify supervisor/ lead with errors for further training. Provides training and information on most common errors. Identifies trends and makes recommendation for improvement. Follows up with Workers Comp and third party payers.
- Accurately abstracts quality data from Medical Records. Enters quality data in the database in an timely manner. Meets all deadlines relating to submission of above data. Performs follow up on invalid data. Reviews quality data for accuracy and completeness with Quality Department.
- Performs other job-related duties as assigned.
Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.