At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development.Discover why Cooper University Health Care is the employer of choice in South Jersey
Manages comprehensive Precertification integrity system and works toward goals and objectives for departmental denial management. Has a sound understanding of the payor policies related to denials and appeals process for all Institutes deemed within Healthcare Access scope.
• Reviews and analyzes denial data for all Institutes within the scope of HCA to determine denial trends and develops remediation plans and/or workflow resolutions
• Analyze CPT codes with payer policy change to ensure teams stay abreast to all relevant payer policy updates and preauthorization standards
• Collaborate with Revenue Cycle University to develop annual CLN’s and quality assurance processes for Insurance Specialists• Develops and monitor EPIC reports and work queues to ensure timely response to denied cases and appeals and provides follow-up on cases until resolution has been achieved• Presents denial metric driven information and workflow opportunities to Patient Access Leadership• Develops and maintains positive, collaborative, supportive working relationships with all members of the organization
• Daily management of assigned Epic work queues to include DNB and retro authorization
• Assist in the on-going support of data collection, analyzation, and developing/implementing new strategies to ensure an effective authorization/scheduling process• Participate in development of documents to drive quality improvement, including the design of quality monitoring forms and quality standards. Document and update process, procedures, guidelines, and training materials responsible for optimizing complex scheduling protocols, provider template build, and ad hoc and routine report generation. Serve as a Subject Matter Expert on all areas within the scope of HCA Precertification. • responsible for assisting in the design, build, validation, maintenance and support of provider templates for all outpatient scheduling departments.• recognize and support the templates and fundamentally understand the impact on appointment availability, provider productivity, clinic workflow, clinic staffing, expense and revenue.
Minimum 2 years management experience preferred in hospital/ambulatory patient access or related related businessDemonstrated ability to research, collect, and present information Strong computer skills; proficiency with Microsoft Office suite. Thourough understanding of ICD-10, CPT codes, HCPCS codesExcellent interpersonal skills as well as superior writing skills. Deadline oriented; ability to work independently and in a team environment. Ability to manage multiple complex and concurrent projects.
Bachelors degree or equivalent
EPIC Schedule Strategy Badge to be obtained within 90 days
EPIC Cadence Proficiency to be obtained upon hire
Proficient in Microsoft Office (Excel, Powerpoint, Visio, Word
Healthcare experience preferredKnowledge of Payor Portals & PoliciesKnowledge of EPIC account, patient, and referral wqs
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Join Cooper University Health Care as a Patient Access Analyst PRN in Camden and be part of a dynamic team dedicated to delivering exceptional healthcare. At Cooper, we pride ourselves on fostering a collaborative atmosphere where our professionals continuously push the boundaries of clinical innovation. In this role, you'll manage the comprehensive Precertification integrity system and work diligently to minimize departmental denials while maximizing patient access. You’ll analyze denial data to spot trends, implement workflow resolutions, and collaborate with our esteemed Revenue Cycle University. You will also develop EPIC reports for efficient handling of denied cases, assisting us in streamlining our authorization and scheduling processes. If you have at least two years of management experience in patient access or a similar field and a solid understanding of ICD-10 and CPT codes, we want to hear from you! At Cooper, we offer competitive compensation and a robust benefits program, along with ample opportunities for professional growth. Come discover why we are recognized as the employer of choice in South Jersey and help us make a difference in patients' lives!
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