Supervisor, Access Services
Found in: Resume Library US A2 - 7 days ago
Our team members are the heart of what makes us better.
At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.
Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change
The Supervisor of Access Services for Hackensack University Medical Center (HUMC) Admission Services, under the general direction of the Director of Admission Services Center/Access Services, supervises daily registration, authorization/pre-certification, insurance verification & benefit coverage, out-of-pocket calculation, upfront cash collection functions of their assigned operational areas booked OR Procedures for elective admissions, Same Day Surgery and other outpatient procedures); schedule Pre-Admission Testing appointments; Register Emergency Room Admissions and Emergency Treat and Release Patients. Follow revenue cycle procedures and practices to maximize revenue potential.
Responsibilities:
A day in the life of a Supervisor of Access Services at Hackensack Meridian Health includes:
Supervises day-to-day activities of pre-registration including insurance and benefits verification, obtaining authorization/pre-certification, referral procurement where needed, determining patients out of pocket expenses, notifying patients, pre-service, of these obligations . With ensuring staff's adherence to insurance verification policies and procedures across assigned Admission Service areas.
Coordinates daily registration/office coverage and line personnel responsible for Inpatient/Outpatient/Ambulatory/ETD registration and related functions and manages the daily staffing levels of these personnel for all assigned areas to ensure proper patient/ flow and patient satisfaction.
Monitors frequently and audits the capture of correct registration elements and demographic information to comply with industry practices and any governmental, state, city regulatory requirements. Maximize upfront cash collections and billing accuracy standards and makes recommendations for process changes when shortfalls are identified.
Maintains a working knowledge of the individual departmental workflows including daily reviews of staffs and supervisory workqueues (WQ) assignments. Skilled with using all necessary EPIC tools to maintain high levels of staff productivity goals set annually.
Supervises technical denial management WQ processes to maintain minimum denial levels, and advises Director/Manager of variances in expected results with corrective action ideas.
Supervises and assists management to develop monitoring and control mechanisms to evaluate employee performance relating to efficiency, accuracy and professional courtesy while communicating with patients, physicians and managed care organizations.
Participates with the automated Pre-admission testing (PAT) scheduling processes requested.
Prepares statistical reports when needed relating to scheduling, patient throughput, and customer service, i.e., number of encounters per hospital service per day.
Identifies the needs of the patient population served and modifies and delivers care that is specific to those needs (i.e., age, culture, language, hearing and/or visually impaired, etc.). This process includes communicating with the patient, parent, and/or primary caregiver(s) at their level (developmental/age, educational, literacy, etc.).
Other duties and/or projects as assigned.
Adheres to HMH Organizational competencies and standards of behavior.
Qualifications:
Education, Knowledge, Skills and Abilities Required:
Bachelor's degree.
Minimum of 3+ years prior experience in hospital patient financial services operations.
Advanced knowledge of the health insurance industry, managed care issues, revenue cycle, and hospital IT systems.
Advanced knowledge of various patient accounting platforms, including those offered by EPIC.
Knowledge of medical terminology.
Excellent written and verbal communications skills.
Ability to multitask.
Customer service oriented.
Detail-oriented with attention to detail.
Proficiency with Google and/or Microsoft applications.
Excellent analytical and interpersonal skills.
Education, Knowledge, Skills and Abilities Preferred:
Bilingual.
Graduate degree is a plus.
Licenses and Certifications Preferred:
Relevant professional certification.
If you feel that the above description speaks directly to your strengths and capabilities, then please apply today
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