Patient Access Services Quality Control Coordinator

About Valley Presbyterian Hospital:

Valley Presbyterian Hospital is a beacon of health in the San Fernando Valley, committed to providing outstanding care and improving community health. We are seeking a detail-oriented and analytical Patient Access Services Quality Control Coordinator to join our dedicated team.

Position: Patient Access Services Quality Control Coordinator

What You'll Do: As a Patient Access Services Quality Control Coordinator, you will be responsible for ensuring the accuracy and completeness of patient registrations and financial data. You will conduct quality assurance audits, track error trends, and support process improvements to enhance registration efficiency and accuracy. You will also provide training, mentorship, and reporting to ensure compliance with hospital policies, insurance verification processes, and financial classifications.

Your role will contribute to an environment of continuous improvement, promoting accuracy in patient information and optimizing financial and operational outcomes.

Responsibilities

Quality Assurance & Data Accuracy

• Conducts weekly quality assurance audits to ensure completeness and accuracy of patient registrations.
• Reviews and verify patient registration details, including name spelling, date of birth, social security number, insurance details, financial class, and guarantor information.
• Identifies, corrects, and reports errors to supervisors and management for continuous process improvement.
• Provides trend analysis of error rates by error type and employee, submitting detailed reports to the PAS management team.

Process Improvement & Training

• Conducts root cause analysis of recurring registration errors and recommends solutions for process improvement.
• Trains and mentors Patient Access Services (PAS) staff on best practices in registration accuracy, insurance verification, and system documentation.
• Assists in the development and implementation of new policies and procedures to enhance data integrity.
• Supports PAS project management and training initiatives as required.

Operational Support & Team Collaboration

• Assists with registration workflows by covering lunch breaks and high-volume times as needed.
• Ensures timely documentation of insurance verification and release of information in compliance with hospital standards.
• Works in collaboration with billing and financial services to ensure registration errors do not impact reimbursement.
• Acts as a liaison between PAS, billing, and insurance providers to streamline processes and improve financial clearance rates.

Reporting & Compliance

• Submits weekly and monthly reports identifying error trends, root causes, and process improvement opportunities.
• Ensures compliance with Meditech system policies, insurance payer regulations, and financial classifications.
• Maintains confidentiality and adheres to HIPAA regulations regarding patient information.
• Actively participates in performance improvement projects and hospital-wide quality initiatives.

What We're Looking For

Experience:

• Minimum of two (2) years of experience in Patient Access Services or hospital registration.
• Demonstrated ability to meet or exceed quality and productivity standards in patient registration.
• Expert-level knowledge of patient access workflows, insurance payors, and quality review processes.
• Experience with Meditech and other patient information systems (Excel, Word, Visio, PowerPoint, etc.).

Skills:

• Strong analytical and problem-solving skills to identify and resolve registration errors.
• Ability to compile and analyze large data sets to generate meaningful reports.
• Excellent communication and interpersonal skills for interactions with patients, payers, physicians, and hospital staff.
• Strong organizational and time management skills with the ability to work independently and efficiently.

Education:

• High school diploma or equivalent required.
• College degree and/or Certified Patient Account Technician (CPAT) certification preferred.
• Medical terminology and management courses are a plus.

Licensures/Certification:

• LA City Fire Card (must be obtained within 30 days of hire).
• VPH CPI - Non-violent Crisis Intervention certification (must be obtained within 30 days of hire).

Why You'll Love Working Here:

• Supportive Environment: We prioritize teamwork, professional growth, and a positive work culture.
• Impactful Work: Your role will directly contribute to the smooth operation of our organization.
• Professional Development: We offer continuous learning and advancement opportunities to help you grow in your career.

Key Responsibilities

Registration & Quality Assurance:

• Review insurance cards and financial information to ensure accurate documentation.
• Appropriately assigns the correct payer, financial class, and billing information for each patient.
• Monitors registration errors and provides real-time feedback for performance improvement.

Process Improvement & Staff Training:

• Provide training and in-service education to PAS staff as needed.
• Identifies repetitive registration errors and works with leadership to implement corrective actions.
• Compiles and analyzes error reports, identifying areas for process enhancements.

Team Collaboration & Customer Service:

• Maintains a professional and cooperative work environment, fostering teamwork and positive interactions.
• Provides exceptional customer service by responding to patients courteously and respectfully.
• Supports collaboration with billing, financial counseling, and insurance providers to resolve discrepancies.

Compliance & Reporting:

• Ensures adherence to hospital policies, payer guidelines, and Meditech data standards.
• Submits detailed reporting on error rates, trends, and department performance.
• Maintains strict confidentiality of all patient and employee information in compliance with HIPAA regulations.

Work Environment:

• Fast-paced office and hospital setting with frequent interruptions and high data volume.
• Requires attention to detail, accuracy, and adherence to hospital protocols.
• Regular interaction with staff, patients, payers, and other hospital departments.
• Potential exposure to patient information, insurance data, and confidential financial records.

Ready to Elevate Your Career? Join us at Valley Presbyterian Hospital and become a key contributor to quality patient registration processes and financial integrity. Apply today to make an impact on Patient Access Services!