Patient Access Supervisor

Responsibilities

• Supervise and direct a team of patient access representatives, providing guidance and training to ensure efficient and effective patient access operations.
• Manage patient registration, appointment scheduling, insurance verification, eligibility, pre-authorization, and out-of-pocket cost estimates functions.
• Ensure compliance with healthcare regulations, insurance requirements, privacy standards, and facility policies.
• Implement best practices, standards, and quality metrics to measure and monitor patient access performance, productivity, accuracy, and timeliness.
• Collaborate with other healthcare professionals, such as physicians, nurses, administrators, and finance staff, to achieve organizational goals and optimize patient outcomes.
• Provide accurate and timely reports to management, stakeholders, and regulatory agencies regarding patient access statistics, trends, and issues.
• Completes charge reconciliation, late charge additions, and unfinalized review of billing.
• Review denials that are specific to authorizations, eligibility, registration, needing more information, etc. that are assigned by the Central Billing Office and Meditech.
• Verify that all scheduled services have authorizations, as needed.
• Establish point-of-service collection goals for the registration staff.
• Resolve assigned tasks.
• Resolved assigned account checks.
• Aid hospital departments with removing and adding charges.
• Work the return to client file as assigned by the Meduit for resolution.
• Check and work mail.
• Quality Assurance checks of consent forms, cards, and insurances are verified.
• Assist other departments as needed with claim resolution.
• Work the assigned PAD functions, as needed.

Qualifications

• High School Diploma required.
• Minimum of 3 years of experience in patient access or related field, with at least 1 year of supervisory or management experience.
• Knowledge of healthcare regulations, insurance requirements, privacy standards, and facility policies.
• Experience with electronic health record (EHR) systems, practice management software, and patient data management tools.
• Excellent organizational, leadership, communication, problem-solving, and interpersonal skills.
• Ability to work collaboratively with other healthcare professionals, patients, families, and caregivers.
• Strong attention to detail, accuracy, and quality control.
• Chart review and good working clinical knowledge base with excellent communication skills necessary to interact with physicians and medical staff.
• General idea of governmental and private insurance guidelines.