Patient Access Associate — The Grove ( Irvine, CA )

Job Description:

This position ensures timely and accurate patient registrations including insurance verification, authorization, referrals, and ongoing maintenance of eligibility with existing patients for accurate claim submission. Essential Duties and Responsibilities:Ensure new patient insurance records are established timely and accurately and maintained properly to ensure accurate billing for treatments and services provided Ensure the timely procurement of initial payer authorizations and reauthorizations for treatments and services provided to ensure payment to DaVitaCommunication/Interaction with the appropriate facility personnel to ensure timely and accurate receipt of each patient's insurance coverage Determine Coordination of Benefits, as required, maintaining current patient account information at all times, with excellent knowledge of, and in accordance with, federal laws and regulations Maintain knowledge of ESRD/MSP laws and changesCoordinate responsibilities related to insurance verification and billing needs for newly-acquired centers and DeNovosParticipate in regularly scheduled meetings with supervisor / manager to discuss key success metrics regarding billing activity, DSO, account setup requests, denials and A/R reportsIdentify, resolve or escalate issues as appropriate for prompt and effective resolution Collaborate closely (in conjunction with Manager) with internal Revenue Operations teams to obtain needed information / updates to bill payorsBecome proficient in all areas of revenue cycleCoordinates with Revenue Operations, Insurance Management, and other teams to conduct effective denial review sessions and support monthly leadership reporting. Collects, analyzes, and interprets front-end denial data, metrics, and provides key findings across departments and to different audience levels Facilitate STAR cross-functional meetings; follow-up on action items and drive resolution Capture key findings from STAR program activities and track progress of each finding Identify and analyze payor trends and denial patterns Reviews registration denials received to determine root cause of each denial by analyzing notes provided by Revenue Associate and remittance advices Helps identify process changes that will prevent failed registrations from reoccurring Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and DaVita policiesDrive special projects and other responsibilities as assigned