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UC Health

Compliance & Education Auditor, Patient Financial Services, Full Time, First Shift

Posted 3 days ago
2-5 years experience
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AI Summary

Audits patient demographic, financial, benefit, and insurance verification records for accuracy and completeness, documents and shares results, and identifies trends and training needs. Develops and delivers staff education, supports procedure updates, advises staff on verification and documentation, and communicates process changes.

At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering.

As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors.

UC Health is committed to providing an inclusive, equitable and diverse place of employment.

Reviews the work of unit staff for accuracy of data entry, and completeness of the demographic, financial and benefit information collected for each patient. Provides feedback to staff on audit outcomes, assists in development and implementation of educational material. Goal is to minimize financial risk to organization by ensuring accurate and complete insurance verification.

Responsibilities

Auditing:

Performs quality audits on demographic, financial, benefit collection and insurance verification documentation Records audit information and distributes to management and staff. Meets with staff as needed to discuss audit results. Evaluates overall department results looking for trends and education opportunities.

Training and education:

Develops and implements training material/classes for staff Assists in development and updating of procedure manuals Serves as resource for staff on system issues, benefit & insurance verification and proper documentation Maintains knowledge of payor websites, and on line verification tools:

Meetings and Communication:

Attends staff meetings, payor meetings Assists in relaying process change information to staff.

Professional Development:

Maintains skills to function as insurance verification associate.

Other duties as assigned:

Other tasks as assigned.

Qualifications

Minimum Required: High School Diploma or GED. | Minimum Required: 1 - 2 Years equivalent experience working in Patient Access working, Insurance Verification, Registration/Pre-Registration, and Benefit Collection. Preferred: 3 - 5 Years equivalent experience working in Patient Access working, Insurance Verification, Registration/Pre-Registration, and Benefit Collection.

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