Patient Access Lead
7 days ago
As a Patient Access Lead at SCL Health, you will be responsible for leading the daily work of the registration/pre-access team. Your primary goal is to ensure that patients receive accurate and timely registration and pre-registration services.
Key Responsibilities:- Lead the registration/pre-access team to achieve departmental productivity and quality standards.
- Obtain complete and accurate patient demographic, insurance, and financial information.
- Register and pre-register patients, confirming and updating required demographic data on the registration system.
- Verify insurance to determine coordination of benefits and obtain authorization and/or referrals as required.
- Screen for and process non-covered services and waiver of liability (ABN) through automated screening at time of service.
- Complete the Medicare Secondary Payer (MSP) questionnaire when applicable.
- Identify copay and deductibles, communicating patient financial responsibility to the patient prior to date of service.
- Collect patient responsibility prior to service.
- Obtain copies of insurance cards, forms of ID, and signature(s) on all required forms.
- Inform self-pay patients of liability due, prepayment requirements, and coordinate screening of alternate funding sources if applicable.
- Refer potentially eligible patients to financial counseling and/or contract eligibility vendor(s).
- Collect patient payments and provide accurate receipt.
- Post all payments in the system.
- Reconcile receipts with cash collected and complete required balancing forms.
- Document patient account notes for all interactions/transactions.
- Manage departmental and/or individual work queues and reports as required.
- Explain/answer patient billing inquiries and interpret statement data to resolve accounts.
- Manage problem-solving more complicated patient questions and issues.
- Manage escalated account issues from the team.
- Review input and audits quality to assure accuracy in all aspects of the position, particularly patient type, financial class, and insurance codes.
- Meet departmental productivity and quality standards.
- Act as Subject Matter Expert (SME) in the department.
- Assist with the follow-up on appeals, denials, answer inquiries, and update accounts as necessary.
- Identify problems and communicate with the Revenue Service Center, Care Management team, Payer Relations, and insurance companies in a timely manner.
- Manage expected floor time with Supervisor.
- Participate in peer interview process as requested.
- Provide on-the-job training and provide feedback and peer coaching to associates after their initial training.
- Perform quality assurance reviews, document findings, and provide information to leadership.
- Assist in the preparation of periodic reports.
- Promote mission, vision, and values of SCL Health, and abide by service behavior standards.
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Patient Access Lead
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Denver, Colorado, United States SCL Health Full timeJob SummaryWe are seeking a highly skilled and experienced Patient Access Lead to join our team at SCL Health. As a key member of our Patient Access department, you will be responsible for leading the daily work of the registration/pre-access team and ensuring that patients receive accurate and timely access to healthcare services.Key ResponsibilitiesLead...
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Patient Access Lead
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