Patient Access Quality Assurance Analyst

2 weeks ago

Amsterdam, United States St. Mary's Health Care Full time

Job Requisition: REQ2785

Employment Type: Full-Time

Shift: Days

Hours Per Week: 40 Hours

Hiring Range : $ 21.44 - $29.56

The actual compensation for this position will be determined based on experience and other factors permitted by law.

Responsibilities:

  • Review denial trends and identifies, develops and implements new processes to prevent future denials and write offs.

  • Compiles and summarizes data and presents results to Patient Access and clinics leadership and other departments as needed

  • Complete daily eligibility related worklists for both Acute and Ambulatory, and corrects information in the EMR

  • Provide educational feedback to employees and supervisors/managers

  • Determine root cause of denials, analyze data and trends related to both financial and operational data and key performance indicators

  • Assist with training employees of Patient Access by collaborating with the Educator of Revenue Cycle and help develop remedial training.

  • Act as a liaison between the eligibility vendor and St Mary and collaborate with the vendor to ensure optimal utilization and best workflows

  • Collaborate with department leadership and educator to create and maintain relevant SOPs related to eligibility and prior-auth requirements, registration fundamentals and scheduling.

  • Works with Patient Access leadership to develop new key performance indicators and monitor existing KPIs to ensure qualitative and quantitative metrics are achieved

  • Evaluates actual versus planned performance and metrics, presents and communicates possible opportunities. Identifies and suggests resolution for problems involving departments which affect registration productivity and or data quality and compliance

  • Performs reviews of all Access data elements, such as real time eligibility (RTE), Medicare Payer Secondary Questionnaire (MSPQ), Insurance plan codes, proper sequencing of COB (Coordination of Benefits), and reviews physician licensure

  • Assist as needed in other functions within Patient Access

Education:

Associates degree in Business, Accounting or Healthcare related field required. Minimum of (two) 2 years of experience in a healthcare setting with administrative, financial or denial management work. Demonstrated knowledge of advanced excel and analytical skills

Certifications / Licensure CHAA preferred or obtain within 1 year of employment

Required Skills/Attributes:

Ability to organize and establish day-to-day priorities while using critical thinking skills in all aspects of

the job.

· Must be able to multitask while remaining professional, focused, composed and positive.

· Excellent customer service skills

· Displays integrity, friendliness, and compassion.

· Must be able to establish an appropriate and effective rapport with others.

· Demonstrates flexibility

· Takes initiative

· Able to work in a fast-paced environment

· Embraces new opportunities to grow both personally and professionally.

· Effective critical thinking and problem-solving skills.

· Proficient with various Microsoft Office products (Word and Excel).

· Strong organizational skills.

· Effective interpersonal skills.

· Ability to take and follow direction in a positive and appropriate manner.

· Ability to work as part of a team and independently. Must be able to demonstrate effective and

appropriate written and oral communication skills.

· Must be able to speak, read, write and follow instructions in English.

  • Patient Care Technician _ 2 _Float Albany

    4 days ago

    Amsterdam, United States Fresenius Medical Care Full time

    PURPOSE AND SCOPE: Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for...

  • Patient Care Technician _ 2 _Float Albany

    4 days ago

    Amsterdam, United States Fresenius Medical Care North America Full time

    **PURPOSE** **AND** **SCOPE:** Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies....

  • QA Analyst

    3 weeks ago

    Amsterdam, New York, United States Emblue Full time

    Responsiblities Develop the test case execution plan oversee test case execution manage issues and report metrics. Perform assigned testing per the Test Plan document and report results. Maintain records of all application testing; prepare reports summarizing testing results. Collaborate with developers and users to optimize testing defect isolation and...

  • Quality Inspector 2nd 3rd shift

    4 days ago

    Amsterdam, United States The Gund Company Full time

    Overview Join The Gund Company, where you will find friends who will support and challenge you to crush goals that provide amazing growth opportunities. We are in the business of electrical insulation manufacturing, but we really pride ourselves in just being a group of fun, driven, problem solvers who LOVE what we do! The Gund Company: Take Care of Each...

  • Quality Inspector 2nd 3rd shift

    3 days ago

    Amsterdam, United States The Gund Company Full time

    Job DescriptionJob DescriptionDescription:OverviewJoin The Gund Company, where you will find friends who will support and challenge you to crush goals that provide amazing growth opportunities. We are in the business of electrical insulation manufacturing, but we really pride ourselves in just being a group of fun, driven, problem solvers who LOVE what we...

  • Revenue Cycle Education Coordinator

    1 month ago

    Amsterdam, United States St Mary's Healthcare Amsterdam Full time

    Job Requisition: REQ2634 Employment Type: Full-time Shift: Days Hours Per Week: 40 hrs week Hiring Range : $21.44 -$28.68 The actual compensation for this position will be determined based on experience and other factors permitted by law. Responsibilities: Is responsible for developing and standardizing the on-boarding training materials for...

  • Patient Care Technician Float Pool

    5 days ago

    Amsterdam, United States American Renal Associates Full time

    Dialysis Patient Care Technician - Float Pool Our Patient Care Technicians provide high quality patient care to patients suffering from the most advanced stage of chronic kidney disease, known as END Stage Renal Disease (ESRD). As a PCT you will monitor patients before, during, and after dialysis treatment including measuring and recording stats, initiating...

  • Clinical Nurse II: C4/C3W: Infectious Disease/ Secure Unit

    2 months ago

    Amsterdam, United States Albany Medical Center Full time

    Department/Unit:Infectious Disease Med/Surg UnitWork Shift:Night (United States of America)The Registered Professional Nurse assesses, coordinates, plans, directs, implements and manages the needs of assigned patients throughout the episode of care with a focus on progress toward discharge, including during transitions within the acute care stay. The...

  • Net Revenue, Lead Analyst

    4 weeks ago

    Amsterdam, United States St Mary's Healthcare Amsterdam Full time

    Job Requisition: REQ2765 Employment type: Full time Shift: Days Hours per week: 40 hrs week Hiring Range: $28.19-$37.70 The actual compensation for this position will be determined based on experience and other factors permitted by law. Responsibilities: Prepare support and perform the calculations for valuation of the accounts receivable...

  • RNII - Cardiology Associates -Amsterdam, NY - FT

    4 days ago

    Amsterdam, United States St. Peters Health Partners Full time

    Employment Type: Full time Shift: Day Shift Description: RNII - Cardiology Associates of Schenectady - Amsterdam, NY - Full Time If you are looking for an RN position in a busy Cardiology Office, this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places. This position will be located at 425 Guy Park...

  • Medical Dosimetrist

    4 weeks ago

    Amsterdam, United States St. Mary's Healthcare Full time

    Job Requisition: REQ2191 Employment Type: Full-Time Shift: Days Hours Per Week: 40 hours *HYBRID POSITION* No weekends and No On-call Hiring range: $35.12 - $49.66 Offer rates are based on experience. Offer rates at the higher end of the range are only for applicants with many years of experience Responsibilities: - Identify and contour normal...

  • RNII - Cardiology Associates -Amsterdam, NY - FT

    5 days ago

    Amsterdam, United States Trinity Health Full time

    **Employment Type:** Full time **Shift:** Day Shift **Description:** RNII - Cardiology Associates of Schenectady - Amsterdam, NY - Full Time If you are looking for an RN position in a busy Cardiology Office, this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places. This position will be located at 425...

  • Medical Dosimetrist

    4 days ago

    Amsterdam, United States St. Mary's Health Care Full time

    Job Requisition: REQ2191 Employment Type: Full-Time Shift: Days Hours Per Week: 40 hours *HYBRID POSITION* No weekends and No On-call Hiring range: $35.12 - $49.66 Offer rates are based on experience. Offer rates at the higher end of the range are only for applicants with many years of experience Responsibilities: • Identify and contour normal and...

  • Executive Assistant

    5 days ago

    Amsterdam, United States Spencer Stuart Full time

    KEY RELATIONSHIPS Reports to Consultant (solid line) Other key relationships Other Consultants Research Team (Associates, Analysts) Other Executive Assistants Assigned Mentor(s) Administrative Staff (Finance, Facilities) Corporate Office Staff KEY RESPONSIBILITIES * Manage and maintain consultants calendar and coordinate trip schedules, making all...

  • Corporate Compliance Audit Coordinator

    3 days ago

    Amsterdam, United States Liberty ARC Full time

    Job DescriptionJob DescriptionCorporate Compliance Audit Coordinator FLSA: Non-Exempt Reports To: Corporate Compliance Officer Physical Requirements: Normal Office Environment Hours of Work: Full Time, 37.5 hours/wk. Other hours as neededPay Range: The pay range is $24.55 to $35.10Job Summary: The Corporate Compliance Audit Coordinator will conduct various...

  • Nurse Practitioner

    2 weeks ago

    Amsterdam, United States Albany Medical Center Full time

    Amsterdam, NY, United StatesDepartment/Unit:Surgery AdministrationWork Shift:Day (United States of America)The Nurse Practitioner (NP) is a nurse who, through clinical experience, study and supervised practice in patient care at the masters or doctoral level, has gained expertise in a specific specialty area of patient care services. The NP demonstrates the...

  • Nurse Practitioner

    2 weeks ago

    Amsterdam, United States Albany Medical Center Full time

    Amsterdam, NY, United StatesDepartment/Unit:Community NeurologyWork Shift:Day (United States of America)The NP works in collaboration with the Division Chief of the Community Neurology and other Physicians, clinical personnel and other health care providers to deliver quality care to patients with neurological conditions. The NP applies knowledge of anatomy,...

  • Nurse Practitioner

    2 weeks ago

    Amsterdam, United States Albany Medical Center Careers Full time

    Amsterdam, NY, United StatesDepartment/Unit:Community NeurologyWork Shift:Day (United States of America)The NP works in collaboration with the Division Chief of the Community Neurology and other Physicians, clinical personnel and other health care providers to deliver quality care to patients with neurological conditions. The NP applies knowledge of anatomy,...

  • Nurse Practitioner

    2 weeks ago

    Amsterdam, United States Albany Medical Center Careers Full time

    Amsterdam, NY, United StatesDepartment/Unit:Community NeurologyWork Shift:Day (United States of America)The NP works in collaboration with the Division Chief of the Community Neurology and other Physicians, clinical personnel and other health care providers to deliver quality care to patients with neurological conditions. The NP applies knowledge of anatomy,...

  • Nurse Practitioner

    2 weeks ago

    Amsterdam, United States Albany Medical Center Full time

    Amsterdam, NY, United StatesDepartment/Unit:Surgery AdministrationWork Shift:Day (United States of America)The Nurse Practitioner (NP) is a nurse who, through clinical experience, study and supervised practice in patient care at the masters or doctoral level, has gained expertise in a specific specialty area of patient care services. The NP demonstrates the...