Lrhpg Patient Access Training Specialist

4 weeks ago

Lakeland, United States Lakeland Regional Health Full time

Work Type: Active - Benefit Eligible and Accrues Time Off
Exempt: No
- Work Schedule: Monday - Friday
Work Hours per Biweekly Pay Period:

- Shift Time: 8am-4:30pm
Location: Hollis Cancer Center, US:FL:Lakeland
- Position Summary

Summary:

- Position Details

Detailed responsibilities:

Standard Work: LRHPG Patient Access QA Training Specialist
- Develop and administer the orientation and training curriculum to new or tenured Patient Access or other employees on Patient Access-related systems and processes. Administers and signs-off on employee competency level at the completion of training. To assure that employees receive a successful education experience and achieve the knowledge that they need to be successful in their position, consistent communication is provided to the manager regarding an employee’s training progress so that remediation strategies may be implemented for employees who may be struggling.
- Provide dedicated training on insurance eligibility/verification and authorization processes. Provides specific training on LRH's insurance eligibility/verification and quality assurance software. Administers and signs-off on employee competency level at the completion of training. To assure that employee's receive a successful training experience and achieve the knowledge that they need to be successful in their position, consistent communication is provided to the manager regarding an employee's training progress so that remediation strategies may be implemented for employees who may be struggling.
- Assure that new and tenured Patient Access and other employees performing insurance functions understand Medicare, Medicaid, Managed care, Commercial and Liability payer regulations and requirements, including the Birthday Rule, Payer Priority rules, appropriate payer set-up in the registration system, etc.
- Provide Medicare Secondary Payer Questionnaire (MSP) Training and assures that all Patient Access and other staff who are required to complete the MSP maintain competency by taking their annual on-line competency.
- Acts as expert resource to all Patient Access areas for questions related to systems, processes, regulations, policies, Standard operating procedures (SOP's), etc. Attends and participates in Staff Meetings.
- Develop departmental SOP's as needed; creates training material to support all existing and new programs/systems; revises and updates SOP's as required.
- Monitors a variety of reports to assure the accuracy and integrity of patient encounters. Provides feedback to the appropriate Supervisor/Manager as needed for employee follow-up. Participate in employee education action plans as needed.
- The Trainer participates in Unit Testing, Integrated Testing and all other testing for a variety of new and current software systems. The Trainer is consistently at the forefront of all new systems being implemented in the patient Access areas. As new systems and processes are implemented, the Patient Access Trainer provides expert and thoughtful advice regarding operations and processes.
- Uses knowledge of professional billing and registration to complete quality non clinical reviews and to identify any areas of non-complinace with established quality and performance goals and standards.
- Provides coverage for any of the Patient Access areas as needed
Qualifications & Experience

**Education**:

Nonessential:

Associate Degree
Education equivalent experience:

Nonessential:

- Other information:

Experience Essential:

3-5 year of experience in professional billing/patient access
- Minimum 1 year preceptor or training experience in Ambulatory Patient Access or Patient Financial Services setting

Experience Preferred:

5-8 years of experience in registration/patient financial services/professional billing
- Knowledge of professional billing, claim edits, claim rejectios, and registration functions

Certifications Preferred:

Preceptor Certifications

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