Patient Access Operations Lead

3 weeks ago


Livingston, Texas, United States Conifer Health Solutions Full time
Job Summary

Demonstrates expertise in departmental financial clearance and showcases leadership skills to oversee a wide range of duties in support of departmental efficiencies. This includes arranging hospital services requested by patients through referrals, performing thorough analysis of admission discharge transfers (ADT), revenue cycle reports, and driving team performance accountability. Additionally, leads shift patient access operations and collaborates with department leaders in process and operational excellence.

Key Responsibilities
  • Greet customers following Conifer standards of care, provide world-class customer service, complete full patient registration at date of service, and adhere to financial and cash control policies and procedures.
  • Thoroughly explain and secure hospital and patient legal forms, scan protected health information, create and file patient information packets/folders for upcoming hospital services, and schedule diagnostic and/or surgical procedures.
  • Provide full patient financial counseling, education, and referrals, employ and complete all patient liability collection escalations through proper and compliant patient liability collection techniques.
  • Secure medical necessity checks/verification in accordance with Centers for Medicare and Medicaid services, verify insurance, benefits, coverage, and eligibility, complete assigned registration financial clearance work lists activities, and obtain insurance authorizations for scheduled and unscheduled hospital services.
  • Perform thorough analysis of admission discharge transfers (ADT), revenue cycle reports, complete departmental operational reports based on team performance accountability, and lead shift patient access operations.
Requirements
  • High school diploma or GED required
  • 2-4 year college degree in business, accounting, medical administration, or related area preferred
  • 2-4 years experience in medical facility, health insurance, or related area
  • 3-5 years experience in patient access preferred
  • 1-2 years in supervisory or lead role preferred
Work Environment

Must be able to sit at computer terminal for extended periods of time, occasionally lift/carry items weighing up to 25 lbs, and frequently stand, sit, and walk. Can work in patient care locations which include potential exposure to life-threatening patient conditions.



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