Patient Access Operations Lead

4 weeks ago

Rock Hill, South Carolina, United States Conifer Health Solutions Full time
Job Summary

Demonstrates knowledge of departmental financial clearance and displays leadership skills to lead a wide range of duties in support of departmental efficiencies. This includes arranging support hospital services requested by patients through referrals, performing thorough analysis of admission discharge transfers (ADT), revenue cycle reports, driving team performance accountability, leading shift patient access operations, and collaborating 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, 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, schedule diagnostic and/or surgical procedures, conduct physician office/patient interviews, and explain hospital procedure guidelines and policies.
  • Provide full patient financial counseling, education, and referrals, employ and complete all patient liability collection escalations through proper and compliant patient liability collection techniques before, during, and after date of service, perform hospital cash reconciliation and secure payment entry in adherence to financial and cash control policies and procedures.
  • Secure medical necessity checks/verification in accordance with Centers for Medicare and Medicare services, verify insurance, benefits, coverage, and eligibility, complete assigned registration financial clearance work lists activities, obtain insurance authorizations for scheduled and unscheduled hospital services, and secure inpatient visit notification to payors.
  • Perform thorough analysis of admission discharge transfers (ADT), revenue cycle reports, complete departmental operational reports based on team performance accountability, lead shift patient access operations, and collaborate with department leaders in process and operational excellence.
Requirements
  • High school diploma or equivalent required, 2-4 year college degree in business, accounting, medical administration, or related area preferred.
  • 2-4 years of experience in medical facility, health insurance, or related area required, 3-5 years of experience in patient access preferred.
  • 1-2 years of supervisory or lead role experience preferred.

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