Patient Access Supervisor
The Dermatology Specialists · New York, NY · 3 mo ago
On-siteHealthcare$66k/yrFull-time
Key Responsibilities
- Lead and supervise an offsite patient access team that reviews upcoming appointments for insurance accuracy, eligibility verification, and network status.
- Ensure required authorizations and referrals are identified, obtained, and documented prior to services as required by payer policies and practice guidelines.
- Monitor and validate patient insurance information across payor portals, insurance portals, eligibility tools, and Revolution EMR integrations; maintain up-to-date records.
- Proactively identify and communicate potential insurance issues to patients (coverage gaps, pre-authorization needs, referral requirements) and assist with scheduling and financial counseling as appropriate.
- Use payor portals and vendor systems to update insurance data, provider affiliations, benefit details, and authorization status in real time or near real-time.
- Manage workflow, assign priorities, and maintain performance standards (accuracy, timeliness, patient communication quality) for the offsite team.
- Develop, implement, and enforce standard operating procedures for eligibility verification, authorization management, and patient communications.
- Ensure HIPAA compliance and protect patient privacy; maintain audit trails for all changes to insurance information.
- Collaborate with clinic managers, scheduling teams, and clinical staff to resolve scheduling conflicts, ensure authorization coverage, and reduce appointment delays.
- Track and report KPIs such as eligibility accuracy rate, authorization turnaround time, patient contact success rate, and pre-visit insurance issue resolution.
- Coach, train, and develop team members; oversee hiring, onboarding, and ongoing performance management.
- Escalate complex cases to leadership with recommended remediation plans and patient communication strategies.
- Participate in continuous improvement initiatives to reduce pre-visit denials and improve patient access experience.
Required Qualifications
- Bachelor’s degree in health administration, business, or related field preferred; or equivalent experience in health care access, revenue cycle, or eligibility verification.
- 3–5+ years of experience in patient access, eligibility verification, authorization management, or related revenue cycle functions.
- Prior supervisory or lead experience, preferably with remote/offsite teams.
- Proficiency with Revolution EMR or similar EHR/clinic management systems; familiarity with payor portals and eligibility tools.
- Knowledge of payer requirements for authorizations and referrals; familiarity with Medicare/Medicaid and commercial payer policies.
- Strong understanding of HIPAA, privacy regulations, and compliance standards.
- Excellent communication and interpersonal skills; ability to coach and develop a dispersed team.
- Analytical mindset with ability to interpret data, generate reports, and drive process improvements.
Benefits
- Excellent Benefits Package (medical, dental, vision, 401K)
- 120 hours of Sick /Vacation time; Paid holidays
- Access to Care.com to support childcare, senior care, pet care, and other family needs.
- Exclusive discounts on select cosmetic services.
Pay
$66,300
Schedule
Corporate, Long Island City, NY