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Patient Access Lead
2 months ago
We 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 Responsibilities- Lead the daily work of the registration/pre-access team, ensuring that all tasks are completed efficiently and effectively.
- Obtain complete and accurate patient demographic, insurance, and financial information, as well as collect 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.
- Avoid 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.
- 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.
- 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.
- Interact with others by effectively communicating, both orally and in writing.
- Operate computers and other office equipment requiring the ability to move fingers and hands.
- See and read computer monitors and documents.
- Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.
- May require lifting and transporting objects and office supplies, bending, kneeling and reaching.
