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Luminis Health · 1 month ago

Patient Access Quality & Improvement Specialist

Annapolis, MD

Full-time

Onsite

Mid Level

$65K/yr - $78K/yr

3+ years exp

Luminis Health is focused on improving patient access processes, and they are seeking a Patient Access Quality & Improvement Specialist. This role is responsible for auditing and analyzing registration and financial clearance processes to enhance accuracy and efficiency, while preventing revenue leakage and denials.

Health CareMedicalNon Profit

Responsibilities

Conduct regular audits of hospital-based registration, insurance verification, and financial clearance activities in Epic

Review DNB (Do Not Bill), insurance verification, and registration error work queues to identify issues requiring correction or rework

Validate demographic, insurance, authorization, and patient type accuracy at time of registration or admission

Trace patient accounts through the registration-to-billing cycle to identify the source of errors that lead to denials or rework

Partner with Denial Management, PFS, and Revenue Integrity to evaluate and trend denial data tied to front-end registration or eligibility issues

Document and categorize findings by error type, staff, and department to detect patterns and systemic opportunities

Maintain and update audit tracking logs; produce monthly dashboards and error-rate summaries for leadership review

Analyze error trends and collaborate with Patient Access leadership to prioritize re-education or process redesign initiatives

Prepare summaries highlighting measurable improvements following staff or process interventions

Collaborate with Patient Access Trainers to develop targeted retraining based on audit results

Provide individual feedback to registrars or financial counselors as appropriate, ensuring corrective action and accountability

Support continuous education through process tip sheets, Epic job aids, and best-practice refreshers

Identify workflow inefficiencies, documentation gaps, or Epic configuration issues impacting registration accuracy

Recommend process improvements that reduce registration-related denials and improve throughput

Ensure compliance with internal policies and regulatory requirements (e.g., Maryland Financial Assistance Law, Good Faith Estimate, MSPQ, consent workflows)

Qualification

Epic registrationPatient registration workflowsInsurance verificationData analysisDenial managementAnalytical skillsTraining supportProcess improvementCompliance knowledgeCHAA certificationCHAM certificationDetail-orientedCommunication skills

Required

Minimum 3 years in hospital patient access, registration, insurance verification, or financial clearance

Proficiency in Epic registration and work queue navigation

Strong understanding of patient registration workflows, insurance plan structures, MSPQ logic, authorization processes, and denial root-cause principles

Analytical and detail-oriented; able to trace multi-step account workflows; excellent written and verbal communication; capable of providing professional feedback

Associate's degree