Patient Access Leader | Remote
CapitexAI · United States · 2 wk ago
RemoteRemoteHealthcare$80/hrContract
Key Responsibilities
- Evaluate automation-generated outputs across pre-registration, scheduling, insurance verification, and intake workflows, identifying errors and delivering structured, actionable feedback for training datasets
- Audit front-end revenue cycle processes end-to-end from demographic capture and point-of-service collections through to clean claim submission, flagging deficiencies and recommending corrective logic
- Review and annotate workflow documentation, registration policies, and payer-specific procedures to ensure outputs align with HIPAA, CMS, and commercial payer requirements
- Monitor and critique KPI frameworks covering registration error rates, pre-registration completion, insurance verification accuracy, and front-end denial rates
- Develop and refine SOPs, compliance guidelines, and training materials applicable to registration accuracy and point-of-service collections in inpatient and outpatient settings
- Document observations systematically and produce clear, structured feedback reports to inform model improvement cycles
Core Requirements
- Demonstrated leadership in patient access or front-end revenue cycle management, including director or manager-level accountability for registration operations
- Deep technical knowledge of pre-registration, insurance verification, scheduling intake, and point-of-service collections across inpatient and outpatient environments
- Proficiency with Epic, Cerner, Meditech, or comparable EHR and patient registration platforms
- Working command of HIPAA, CMS regulations, and both commercial and government payer requirements at the point of service
- Prior exposure to LLM-based tools or structured annotation workflows in a healthcare or revenue cycle context
- Proven ability to identify workflow inconsistencies, data errors, and process gaps with a high-precision, detail-oriented approach to documentation
- Exceptional written communication skills; able to produce clear, structured analytical feedback independently in a fully remote environment
Additional Strengths
- NAHAM CHAM or CHAA credential, or equivalent patient access certification
- Prior exposure to denial prevention strategy applied at the point of registration, with measurable impact on front-end denial rates