Patient Access Lead

5 days ago


Denver, Colorado, United States Intermountain Health Full time
Job Summary

We are seeking a highly skilled Patient Access Lead to join our team at Intermountain Health. As a Patient Access Lead, you will be responsible for leading the daily work of the registration/pre-access team, ensuring that patients receive accurate and timely registration and financial services.

Key Responsibilities
  • Lead the daily work of the registration/pre-access team, ensuring that patients receive accurate and timely registration and financial services.
  • Obtain complete and accurate patient demographic, insurance, and financial information, as well as collection of all liability due for scheduled patients by telephone.
  • Register/pre-register patients, confirm, enter, and/or update all required demographic data on patient and guarantor on registration system, avoiding overlays and duplicate patient medical records.
  • 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, communicate patient financial responsibility to patient prior to date of service, collect patient responsibility prior to service.
  • Obtain copies of insurance card(s), 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 system, reconcile receipts with cash collected, and complete required balancing forms.
  • Document patient account notes for all interactions/transactions, maintain 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 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, present at staff in-service as requested, promote mission, vision, and values of SCL Health, and abide by service behavior standards.
Requirements
  • High School Diploma or equivalent, required
  • Minimum of one (1) year of employment within a SCL Health Patient Access department or Revenue Service Center department, required
  • Certified Healthcare Access Associate (CHAA) through the National Association of Healthcare Access Management (NAHAM) or any other accredited association approved by the Manager, preferred
  • Previous experience specific to revenue cycle operations as it pertains to patient financial services, preferred
Work Environment

This position is located at Saint Joseph Hospital in Denver, Colorado, and requires the ability to interact with others, operate computers and other office equipment, see and read computer monitors and documents, remain sitting or standing for long periods of time, and may require lifting and transporting objects and office supplies, bending, kneeling, and reaching.


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