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Job Description

Job Title: Patient Accts Training & QAC- Hospital, Harrisburg
Job ID: 696724175
Status: Full-Time
Regular/Temporary: Regular
Hours: 7:30 a.m. to 4 p.m
Shift: Day Job
Facility: Pinnacle Health Support Services
Department: Patient Accounts
Location: 409 South Second Street, Harrisburg PA 17104

Description

Purpose:
Responsible for development, design, administration and management of training programs for all patient account functions within Pinnacle Health System. Completes skill assessments and reviews ongoing quality. Responsible for administering training needs assessments, course development with appropriate materials and coordination and planning of new and refresher training courses. Creates and maintains policy and procedure and training manuals to support the Patient Accounts team. Acts as liaison to the Information Services department to ensure Epic is functioning as designed and that it remains current with the rapidly changing insurance industry guidelines for claims processing and compliant with government billing requirements.

Responsibilities:
  • The Patient Account Training & Quality Assurance Coordinator position requires the ability to communicate with various levels of employees and present findings to the Director and Senior Management team. This position also requires the ability to understand issues that are operational or systemic in nature and quantify their relevance to the financial well being of Pinnacle Health System. Individuals must be able to succeed in a busy and complex environment.
  • Prepares special projects as assigned by the Sr. Management Team of Patient Accounts.
  • Actively creates relationships with other PHS departments to foster use of and satisfaction with facility activities.
  • Participates in meeting the objectives of the Patient Accounts department.
  • Promotes and contributes positively to the teamwork of the department by assisting co-workers, contributing ideas and problem solving.
  • Works creatively to resolve process and training issues within Patient Accounts and with external departments.
  • Maintains reports and statistics to support organizational training requirements.
  • Provides training on Epic and other tools used for billing, follow up and denials workflow and monitors performance of the staff.
  • Conducts and monitors quality assurance audits to ensure accurate processing of billing, denials and follow up. 
  • Oversees competency assessment and skills checklist.  Defines quality assurance standards with approval by the Patient accounts Management Team. Routinely produces quality audit results for management review.
  • Collaborates with management in determining the continuing education needed.
  • Coordinates re-training for current employees to assure appropriate revenue cycle processing.
  • Coordinates and conducts annual knowledge assessments to ensure all staff maintain adequate competency levels.  Participates in development of employee performance capabilities and provides input into the performance management process.
  • Conducts training sessions for all new hire patient accounts staff as well as ongoing training for existing employees in government and commercial payer requirements for billing, follow up of unpaid or incorrectly paid claims and denial processing. The training will include but is not limited to the following: working claim edits, the use of modifiers, filing fee reviews, understanding and interpreting payer contracts, accessing payer websites, overcoming payer stall tactics, analyzing denials and handling appeals.
  • Develops appropriate training materials for all educational sessions.
  • Maintains comprehensive knowledge of billing requirements and reimbursement principles.
  • Schedules training for on-going employee education.  Maintains records of performance of employees on assessments.  Coordinates and schedules on-the-job training with employees and management staff along with new and refresher programs.
  • Presents training material using lecture demonstration, case studies, simulation, practical experience, and other interactive methods. 
  • Trains staff to meet department quality and financial reimbursement expectations of organization.

Qualifications

  • Minimum of 3 years of experience in patient accounts and/or billing functions.
  • Proven knowledge of various government and non-government payer rules.
  • Excellent verbal and written communication skills
  • Ability to problem solve and make appropriate decisions.
  • Prior trainer experience essential with ability to apply a variety of training methods.
  • Demonstrated ability to produce course outlines and handout materials.
  • Knowledge of adult learning principles and educational theory.
  • Proficient with Word, Excel, and PowerPoint Knowledge of insurance and billing requirements.
  • B.A. / B.S. preferred
  • Process improvement and management analyses experience preferred.
  • Experience with Epic System preferred
  • EPIC Trainer Certified preferred

Licensure, Certifications, and Clearances:
  • Act 33 with renewal
  • Act 34 with renewal
  • Act 73 FBI Clearance with renewal

  • UPMC is an Equal Opportunity Employer/Disability/Veteran

    Salary Range: $22.53 to $33.79 / hour

    Union Position: No

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