Jobs · Healthcare · California

Patient Access Lead

Guidehouse · Ventura, CA · 1 mo ago
On-siteHealthcare$65k–$108k/yrFull-time

About the role

The Patient Access Lead, in partnership with the Patient Access Supervisor, Manager and Director, is responsible for the proactive oversight of client relationships and strategic initiatives to ensure quality measures in front-end patient intake operations are consistently met.

Responsibilities

  • Provide guidance to frontline staff and ensure operational practices comply with State and Federal healthcare regulations (including but not limited to HIPAA, EMTALA and NSA).
  • Serve as a communication link between Patient Access and the client’s administrative and clinical partners.
  • Act as a Subject Matter Expert (SME) dedicated to maintaining high-quality data integrity.
  • Engage the Patient Access Trainer in developing and implementing standardized operating procedures that keep the team informed of evolving workflow updates and operational compliance requirements.
  • Provide Lead cross-departmental support in ED, Mother Child Health, Same Day Surgery, Pre-Registration, Outpatient Registration (Main Admitting), and PBX Communications.
  • At the discretion of upper management, lead meetings with client clinical and/or administrative leadership.
  • Assist the client’s effort of neutralizing multi‑million dollar impact by minimizing Do Not Bill days and accelerating claim adjudication through addressing Claim Edit and DNB Workqueues trends.
  • Analyze opportunity‑for‑improvement patterns and trends, categorizing root causes per technology, workflow, and isolated vs. systemic causes.
  • Partner with leadership on establishing Quality Assurance measures that address and minimize the impact of trended opportunities rooted in workflow.
  • Escalate to client’s IT leadership opportunities categorized and rooted in technology.
  • Provide staff guidance to assure quality in registration, admissions, insurance verification, and PBX Communication operations, including:
    • Client Software application – TempTrak monitoring of temperature, pressure, and humidity across hospital equipment and environments, ensuring regulatory compliance and maintaining accurate records.

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