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Patient Access Supervisor – Enterprise
5 months ago
Position Overview:
The Patient Access Supervisor is responsible for ensuring best practice and optimal revenue cycle results for assigned CBO clients, with direct oversight of 15-30 clients.
The Patient Access Supervisor is accountable for client satisfaction, client performance results and collaborating internally and externally to drive revenue cycle and reimbursement initiatives.
This role develops an environment and culture that embraces continuous improvement and innovation to ensure best practices are achieved in all areas of the revenue cycle.
This role will coordinate with other cross functional areas that impact or support RCM to ensure appropriate collaboration and system wide efficiency of operations.
Responsibilities:
- Maintains current knowledge of patient scheduling, registration/intake processes and systems, medical necessity review, insurance eligibility verification and authorization, and billing models.
- Continuously evaluates and is expected to be actively involved in ensuring all patient access operations are wellmanaged, delivering excellence in quality standards, consistently meeting the organizations and client expectations.
- Conduct routine reviews of work completed; leveraging findings to identify training needs for system education, industry updates and changes in processes and protocols.
- Must become the expert on respective clients, regional payer trends and overall client specifics.
- Maintains thorough understanding of health insurance and government programs.
- Assist with implementation and onboarding tasks to ensure the process is efficient, timely, and smooth for our clients.
- Communicate and work with facility level staff members, associates, senior leadership, offshore staff, and thirdparty vendors in order to achieve operational success for the centralized verification team.
- Perform detailed retroreviews of multiple facilities to ensure the centralized verification team has captured and completed all necessary tasks.
- Assist with implementation and onboarding tasks to ensure the process is efficient, timely, and smooth for our clients (Surgical Hospitals and ASCs).
- Prepare, analyze, monitor, and communicate statistical information and reports to appropriate personnel.
- Effective critical thinking, problem solving and decisionmaking skills.
- Flexible work style, tactful, poised, and patient. Ability to handle a heavy workload, multiple requests, interruptions, and short deadlines in a positive manner, establishing priorities for effective work completion.
- Adapts quickly to changing conditions, assimilating new processes into job functions, and taking ownership.
- Complete and provide oversight to all Insurance Verification Functions including:
- Identify and document all patient accounts accurately based on what type of insurance product the patient has, PPO, HMO, other Managed Care Organizations, Medicare Advantage Plans, Government plans or Workman Compensation policies.
- Complete accurate and timely insurance verifications. o Accurately completes all data entry necessary including patient demographics, insurance information and benefit details.
- Confirms preauthorization requirements, submits available medical documentation, and documents authorization approvals.
- Other duties as assigned
Required Skills:
Requirements:
- 3+ years Patient Access experience in a healthcare related industry with Ambulatory Surgical Center or Outpatient hospital experience preferred.
- Must have prior verification, authorization, or financial counseling experience with an understanding of Revenue Cycle Processes, cause and effect on A/R and cash results.
- Sound judgement and strong skills with respect to interpersonal relations, critical thinking, problem solving and analysis.
- The ability to communicate effectively, both verbally and in writing, with internal and external clients.
- Work independently to identify and resolve complex client problems.
- Excellent knowledge of health care billing procedures, documentation, regulations, payment cycles and standards.
- Must be proficient in computer skills necessary to perform job duties and must have strong knowledge of computerized billing systems. Intermediate knowledge of Word, Excel, PowerPoint, Access, and Outlook.
- Must possess positive attitude to enhance a cooperative and energetic work environment.
- Advantx, Vision, HST, Cerner, SIS Complete, Waystar experience preferred.
- Familiarity with Availity, Evicore, RevCycle Pro and Payer Portals preferred.
