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Patient Access Data Integrity Specialist

The Patient Access Data Integrity Specialist assists in ensuring the accuracy and security of patient registration data within the revenue cycle, from pre-registration to final payment, to maintain the integrity of Revenue Cycle data and streamline healthcare processes. The Patient Access Data Integrity Specialist will use a variety of instructional techniques to meet educational objectives. Will create and/or assist in the development and refinement of training and resource materials.

The Patient Access Data Integrity Specialist will be an example to new and existing team members on living the core values, the mission and vision of Halifax Health as evidenced in their work, communication, and professional goals.

JOB QUALIFICATIONS

Bachelor's degree in Healthcare Administration, Business Administration, Finance or other health-related field preferred or equivalent combination of education and work experience may be substituted.

DUTIES AND RESPONSIBILITIES

Inspires the trust and respect of the team as he/she consistently displays the core values of Halifax Health. Listens to team member feedback and resolves and/or communicates issues or conflicts. Create an inspiring environment with an open communication culture
Develop and deliver training programs to improve data quality and compliance among staff. Presents classroom courses during new team member onboarding.
Oversee competency assessment and skill checklist.
Document training session performance, competencies and provide real-time feedback to the trainee.
Log individual training sessions in the time and attendance system.
Provide training progress feedback to trainee, Patient Access Data Integrity Coordinator and trainee Manager and/or direct supervisor.
Verify the accuracy of patient information, insurance data, and billing codes to prevent errors in claims.
Analyze revenue cycle data to identify trends, patterns, and potential issues related to billing, claims, and collections.
Investigate data discrepancies, identify root causes, and implement solutions to prevent future issues.
Prepare reports on data integrity to share with management.
Protect sensitive patient data from unauthorized access and breaches, ensuring compliance with HIPAA regulations.
Stay current on relevant regulations and guidelines related to healthcare billing, insurance, and data privacy.
Maintain accurate and up-to-date records of data integrity activities and resolutions.
Other duties as assigned
Minimum of three years of experience in healthcare revenue cycle patient registration. Experience with billing, claims or clearinghouse with demonstrated training skills preferred.
Proficient in revenue cycle functions across multiple payers and multiple billing and patient record systems
Knowledge of insurance plans, verifications and Federal and State compliance regulations
Ability to manage multiple active initiatives, meet time-sensitive deadlines and organize workload with general supervision.
Proficiency with Microsoft Office Suite of products and ability to learn other applications proficiently.
Proficiency with Epic preferred
Effective critical thinking, creativity, problem-solving, and decision-making skills.
Excellent verbal and written communication and leadership skills, as well as experience in public speaking, teaching, adult learning principles and conflict resolution.
Must be detail oriented and thorough with excellent organizational skills.
Ability to maintain positive relationships with team members.
Interpret and analyze data, trends and produce reports as needed
Demonstrated ability to compose clear and accurate routine and non-routine correspondence.
Self-starter, highly motivated. Team oriented with strong work ethic.