Patient Access Representative Lead - Birth Place/Labor & Delivery
Position Summary
The Patient Access Authorization Lead directly impacts the revenue cycle by accurately processing data relating to insurance, authorization, and demographic information following unit-specific policies. They assess surgical and diagnostic patient information to ensure it is systematically available hospital-wide. The Lead meets established quality and productivity standards and interacts professionally with MDs, MD office staff, employees, outside vendors, patients, and patient representatives. They identify workflow changes to reduce authorization denials for the organization and assist in aligning specific procedure codes with authorizations obtained by payers. Additionally, they support training and implementing standard work for the authorization team to ensure full payment for all procedures.
Education, Training, Experience, Certification & Licensure
- Two years of medical office or customer service experience
- Participates in orientation, patient access training program, and continuing education
- Updates and maintains knowledge and skills related to specific areas of expertise
Special Equipment, Skills Or Other Requirements
- Word processing skills required
- PC experience
- Basic mathematical skills
- Effective verbal and written communication and human relations skills
- Related experience in hospital registration, Eclipsys, or PHS/HPF, and knowledge of medical terminology preferred
Work Environment and Hazards
Clinical Setting. Exposure Class I or II; service specific.
Physical Demands
Sedentary work: standing, walking, and sitting for prolonged periods of time; repetitive motion of hands, fingers, and wrists.
Work Contact Group
All services, employees, medical staff, patients, visitors, vendors, and regulatory agencies.
Career Path
Level 2, Level 3 Patient Access Representative; Coordinator, Manager
Pay Range
$19.64-27.85 Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.