Patient Access Representative, Team Lead

Responsibilities

• Oversees and coordinates the flow of overall functions of the Patient Access Services Office.
• Operates telephone switchboards and consoles to connect, hold, transfer and disconnect telephone calls.
• Connects calls to the required extension, re-directs them to another number or places them in a waiting queue if the desired number is busy.
• Oversees bed board systems to maximize hospital occupancy and patient flow.
• Distributes and responds to all incoming emails to the department email box.
• Affords assistance to clinical and marketing teams for departmental promotions.
• Affords assistance where appropriate to maintain departmental regulatory compliance.
• Works across departmental teams to maintain workflow efficiencies.
• Participates directly in revenue cycle initiatives as needed.
• Collects co-payment, deductible, and co-insurance amounts according to patient’s health insurance plan and contractual agreement.
• Supports quality patient care while meeting health and safety standards.
• Verifies insurance eligibility of all insured patients and financially investigates self-pay patients.
• Organizes, maintains, and tracks authorizations for all patients and visits.
• Collaborates with other departments to ensure the needs of the patient and department are met.
• Reports/attends departmental monthly meetings and provides updates on departmental initiatives, goals, and statistics.
• Creates and prepares unique and recurring reports or projects as needed and assigned while keeping Patient Access leadership properly informed including daily point-of-service collections and revenue cycle initiatives.
• Collaborates with Patient Access leadership on performance expectations, regulatory and accreditation mandates.
• Supports the Patient Access training team to ensure all new hires have necessary access to hospital systems.
• Coordinates with Patient Access leadership to ensure appropriate staffing levels are met based on operational needs, handles/arranges coverage as needed, and can be required to accommodate all shifts and locations across the department.
• Develops and maintains positive customer service with all patients, colleagues, visitors, and vendors by exercising utmost diplomacy and tact.
• Collaborates with other departments to ensure the needs of the patient are met.
• Manages RQA reports by resolving errors and producing corrected accounts.
• Abides by documentation guidelines consistently.
• Adheres to all company and department policies and procedures in confidentiality, regulatory and contractual mandates and HR policy.
• Maintains current knowledge base regarding insurance information and managed care guidelines; maintains knowledge base of designated networks based upon managed care contracts.
• Coordinates with Patient Access leadership to ensure appropriate staffing levels are met based on operational needs, handles/arranges coverage as needed, and can be required to accommodate all shifts and locations across the department.
• Develops and maintains positive customer service with all patients, colleagues, visitors, and vendors by exercising utmost diplomacy and tact.
• Collaborates with other departments to ensure the needs of the patient are met.
• Manages RQA reports by resolving errors and producing corrected accounts.
• Abides by documentation guidelines consistently.
• Adheres to all company and department policies and procedures in confidentiality, regulatory and contractual mandates and HR policy.
• Maintains current knowledge base regarding insurance information and managed care guidelines; maintains knowledge base of designated networks based upon managed care contracts.
• Coordinates with Patient Access leadership to ensure appropriate staffing levels are met based on operational needs, handles/arranges coverage as needed, and can be required to accommodate all shifts and locations across the department.
• Develops and maintains positive customer service with all patients, colleagues, visitors, and vendors by exercising utmost diplomacy and tact.
• Collaborates with other departments to ensure the needs of the patient are met.
• Manages RQA reports by resolving errors and producing corrected accounts.
• Abides by documentation guidelines consistently.
• Adheres to all company and department policies and procedures in confidentiality, regulatory and contractual mandates and HR policy.
• Maintains current knowledge base regarding insurance information and managed care guidelines; maintains knowledge base of designated networks based upon managed care contracts.
• Coordinates with Patient Access leadership to ensure appropriate staffing levels are met based on operational needs, handles/arranges coverage as needed, and can be required to accommodate all shifts and locations across the department.
• Develops and maintains positive customer service with all patients, colleagues, visitors, and vendors by exercising utmost diplomacy and tact.
• Collaborates with other departments to ensure the needs of the patient are met.
• Manages RQA reports by resolving errors and producing corrected accounts.
• Abides by documentation guidelines consistently.
• Adheres to all company and department policies and procedures in confidentiality, regulatory and contractual mandates and HR policy.
• Maintains current knowledge base regarding insurance information and managed care guidelines; maintains knowledge base of designated networks based upon managed care contracts.
• Coordinates with Patient Access leadership to ensure appropriate staffing levels are met based on operational needs, handles/arranges coverage as needed, and can be required to accommodate all shifts and locations across the department.
• Develops and maintains positive customer service with all patients, colleagues, visitors, and vendors by exercising utmost diplomacy and tact.
• Collaborates with other departments to ensure the needs of the patient are met.
• Manages RQA reports by resolving errors and producing corrected accounts.
• Abides by documentation guidelines consistently.
• Adheres to all company and department policies and procedures in confidentiality, regulatory and contractual mandates and HR policy.
• Maintains current knowledge base regarding insurance information and managed care guidelines; maintains knowledge base of designated networks based upon managed care contracts.
• Coordinates with Patient Access leadership to ensure appropriate staffing levels are met based on operational needs, handles/arranges coverage as needed, and can be required to accommodate all shifts and locations across the department.
• Develops and maintains positive customer service with all patients, colleagues, visitors, and vendors by exercising utmost diplomacy and tact.
• Collaborates with other departments to ensure the needs of the patient are met.
• Manages RQA reports by resolving errors and producing corrected accounts.
• Abides by documentation guidelines consistently.
• Adheres to all company and department policies and procedures in confidentiality, regulatory and contractual mandates and HR policy.
• Maintains current knowledge base regarding insurance information and managed care guidelines; maintains knowledge base of designated networks based upon managed care contracts.
• Coordinates with Patient Access leadership to ensure appropriate staffing levels are met based on operational needs, handles/arranges coverage as needed, and can be required to accommodate all shifts and locations across the department.
• Develops and maintains positive customer service with all patients, colleagues, visitors, and vendors by exercising utmost diplomacy and tact.
• Collaborates with other departments to ensure the needs of the patient are met.
• Manages RQA reports by resolving errors and producing corrected accounts.
• Abides by documentation guidelines consistently.
• Adheres to all company and department policies and procedures in confidentiality, regulatory and contractual mandates and HR policy.
• Maintains current knowledge base regarding insurance information and managed care guidelines; maintains knowledge base of designated networks based upon managed care contracts.
• Coordinates with Patient Access leadership to ensure appropriate staffing levels are met based on operational needs, handles/arranges coverage as needed, and can be required to accommodate all shifts and locations across the department.
• Develops and maintains positive customer service with all patients, colleagues, visitors, and vendors by exercising utmost diplomacy and tact.
• Collaborates with other departments to ensure the needs of the patient are met.
• Manages RQA reports by resolving errors and producing corrected accounts.
• Abides by documentation guidelines consistently.
• Adheres to all company and department policies and procedures in confidentiality, regulatory and contractual mandates and HR policy.
• Maintains current knowledge base regarding insurance information and managed care guidelines; maintains knowledge base of designated networks based upon managed care contracts.
• Coordinates with Patient Access leadership to ensure appropriate staffing levels are met based on operational needs, handles/arranges coverage as needed, and can be required to accommodate all shifts and locations across the department.
• Develops and maintains positive customer service with all patients, colleagues, visitors, and vendors by exercising utmost diplomacy and tact.
• Collaborates with other departments to ensure the needs of the patient are met.
• Manages RQA reports by resolving errors and producing corrected accounts.
• Abides by documentation guidelines consistently.
• Adheres to all company and department policies and procedures in confidentiality, regulatory and contractual mandates and HR policy.
• Maintains current knowledge base regarding insurance information and managed care guidelines; maintains knowledge base of designated networks based upon managed care contracts.
• Coordinates with Patient Access leadership to ensure appropriate staffing levels are met based on operational needs, handles/arranges coverage as needed, and can be required to accommodate all shifts and locations across the department.
• Develops and maintains positive customer service with all patients, colleagues, visitors, and vendors by exercising utmost diplomacy and tact.
• Collaborates with other departments to ensure the needs of the patient are met.
• Manages RQA reports by resolving errors and producing corrected accounts.
• Abides by documentation guidelines consistently.
• Adheres to all company and department policies and procedures in confidentiality, regulatory and contractual mandates and HR policy.
• Maintains current knowledge base regarding insurance information and managed care guidelines; maintains knowledge base of designated networks based upon managed care contracts.
• Coordinates with Patient Access leadership to ensure appropriate staffing levels are met based on operational needs, handles/arranges coverage as needed, and can be required to accommodate all shifts and locations across the department.
• Develops and maintains positive customer service with all patients, colleagues, visitors, and vendors by exercising utmost diplomacy and tact.
• Collaborates with other departments to ensure the needs of the patient are met.
• Manages RQA reports by resolving errors and producing corrected accounts.
• Abides by documentation guidelines consistently.
• Adheres to all company and department policies and procedures in confidentiality, regulatory and contractual mandates and HR policy.
• Maintains current knowledge base regarding insurance information and managed care guidelines; maintains knowledge base of designated networks based upon managed care contracts.
• Coordinates with Patient Access leadership to ensure appropriate staffing levels are met based on operational needs, handles/arranges coverage as needed, and can be required to accommodate all shifts and locations across the department.
• Develops and maintains positive customer service with all patients, colleagues, visitors, and vendors by exercising utmost diplomacy and tact.
• Collaborates with other departments to ensure the needs of the patient are met.
• Manages RQA reports by resolving errors and producing corrected accounts.
• Abides by documentation guidelines consistently.
• Adheres to all company and department policies and procedures in confidentiality, regulatory and contractual mandates and HR policy.
• Maintains current knowledge base regarding insurance information and managed care guidelines; maintains knowledge base of designated networks based upon managed care contracts.
• Coordinates with Patient Access leadership to ensure appropriate staffing levels are met based on operational needs, handles/arranges coverage as needed, and can be required to accommodate all shifts and locations across the department.
• Develops and maintains positive customer service with all patients, colleagues, visitors, and vendors by exercising utmost diplomacy and tact.
• Collaborates with other departments to ensure the needs of the patient are met.
• Manages RQA reports by resolving errors and producing corrected accounts.
• Abides by documentation guidelines consistently.