Patient Access Analyst in Ontario, CA at Prime Healthcare

Date Posted: 3/18/2020

Job Snapshot

  • Employee Type:
  • Location:
    2143 East Convention Center Way
    Ontario, CA
  • Job Type:
  • Experience:
    At least 2 year(s)
  • Date Posted:

Job Description


This position will drive business value by supporting Patient Access teams across the organization in the analysis of Clearance and AHIQA data. Analysis of data will include but is not limited to registration accuracy and eligibility verification. This position will assist Patient Access teams across the organization improve all Clearance and AHIQA metrics that are below the standard. Proactively identify the need for additional eligibility payers and AHIQA rules for registration. This position will field and respond to all incoming questions regarding Clearance and AHIQA. This position will assist in the delivery of process improvement opportunities by applying analytical and critical thinking to generate innovative and practical solutions that drive improvements in Patient Access. This position will be able to function as the Subject Matter Expert (SME) for Clearance and AHIQA related operations and for strategic project optimizations. Additionally, the Patient Access Analyst will serve as the vendor liaison and point of contact between facilities and departments to ensure all issues are being resolved and all pending project requirements are being met. 


Required qualifications:
  • Minimum of two (2) years of experience in Revenue Cycle processes and applications such as billing, coding, reimbursement methodologies, claim denial, etc.
  • Proficient in business software applications.
  • Working knowledge of Change Health Care Clearance.
  • Ability to use independent judgement and decision-making.
  • Possesses project management, change management and analytical skills necessary to develop and implement appropriate changes.
    Preferred qualifications:
  • Bachelor's degree in Business, Finance, Business Analytics, Healthcare Administration or other healthcare related profession.
    We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law: