Lead Patient Access Representative

Key Essential Functions And Accountabilites Of The Job

• Manages scheduling resources for patient appointments
• Manages communication tools for patient scheduling requests by patients and care teams
• Manages the pre-registration review process for insurance verification for upcoming appointments
• Retrieves payment collection for services, flat rate services, co-pay or up-front collections
• Colls documentation by the requirements and timeliness for registration compliance
• Scans registration documents into the electronic health record
• Reviews and assigns insurance tiering for proper payor assignment
• Validates insurance eligibility and pre-authorization requirements
• Communicates with peers, patients, and care teams through multiple communication channels for appointment requests and patient-initiated outreach
• Create new patient profiles in the electronic health record with quality data input of demographic information and proper identification collection
• Manages multiple worklists assigned: New Patient Registration Worklist
• Schedules and register for various disciplines: Primary Care, Behavioral Health, Optometry, Rehabilitation, Radiology, Laboratory, and others.
• Cross training for assigned coverage as a PRS
• Covers for the Patient Registration Supervisor or Manager
• Coordinates signing up patients in the MySEARHC patient portal
• Enacts SEARHC’s 7 Standard of Service Excellence and provides exceptional customer service delivery
• Works well with peers, patients, and leadership
• Participates in departmental improvement efforts, maintains a clean and safe working environment for self, staff, and patients, and maintains compliance with annual competencies
• Identifies community resources, fosters partnerships, and utilizes resources effectively
• Refers all patients without insurance coverage or questions to a Financial Counselor for resolution
• Refers patients to the Patient Health Benefits team for screening/enrollment in available/qualified insurance resources
• Trains new employees in the PRS Trainee and PRS roles
• Audits encounters of PRS Trainee and PRS team members and shares corrections that need to be made
• Schedule fill rate tracking, third next available
• Messaging tools for timely response by team
• Standby/waitlist for timely response by team
• Manages updates to providers 90 day rolling schedules and block placements
• Provides supervisor support in the absence of the supervisor with guidance by manager

Reporting

• 60 % of the job will require training and work the tasks in the PRS Trainee and PRS JD
• 20% auditing and reporting
• 20% care team/dyad partner communication

Additional Details

• Education, Certifications, and Licenses Required:
  • High School Diploma or GED preferred
  • Preference given to applicants with advanced degree
  • Basic Life Support preferred
• Experience Required:
  • 2 years of healthcare office experience or a minimum of an associate degree in lieu of healthcare office experience required
  • Internal candidates with at least 1 year of experience as a Patient Registration Specialist or similar role at SEARHC will be considered qualified for this role
• Knowledge, Skills, And Abilities:
  • Knowledge of Available services at SEARHC, other tribal health organizations in Alaska, and community
  • Customer service principles
  • General knowledge of front-end revenue cycle requirements
  • Skilled at attention to detail and quality data input
  • The use of equipment such as computers
  • Oral and written, and interpersonal communications
  • De-escalation and critical thinking skills
  • Quality review and providing training feedback
  • Ability to Prioritize work and multi-task in a fast-paced office setting with many interruptions
  • Read and comprehend simple instructions, short correspondence, and memos
  • Demonstrate time-management, organizational, and customer service skills
  • Work flexible hours with limited unplanned absence and ability to work independently
  • Computer Skills Proficient in Microsoft Office Products including Word, Excel, and PowerPoint
• Other Qualifications:
  • Strong organizational & time management abilities
  • Teamwork Leadership
  • Proficient in EHR systems
• Physical Demands:
  • While performing the duties of this job, the employee is regularly required to talk or hear
  • The employee is frequently required to stand; walk; sit; use hands to finger, handle or feel and reach with hands and arms
  • The employee is occasionally required to climb or balance; stoop, kneel, crouch or crawl
  • The employee must lift and/or move 50 lbs
• Work Shift: OT 8/40
• Position Information:
  • Work Shift: OT 8/40