Patient Access Team Leader

About the role

The Patient Access Team Leader acts as a role model and resource for Patient Access staff. This role leads activities of a Patient Access site of service team. The Patient Access Team Leader serves as a technical expert and a resource for staff, patients, and visitors. The Team Leader maintains focus on essential activities of patient's arrival and visit and proactively takes steps to ensure the streamlining of activities. This position supports organizational goals by providing quality customer service, participating in performance improvement efforts and demonstrating commitment to teamwork and cooperation in accordance with the AtlantiCare Mission, Vision, and Values.

Responsibilities

• Provides relief for Patient Access staff for vacation, sickness, leave, staffing shortages, and heavy work volume.
• Maintains a liaison relationship with other Revenue Cycle departments to ensure ongoing performance improvement, regulatory compliance, and achievement of best practice targets.
• Serves as single point of contact for initial communication and is the first stage of the escalation process to management.
• Handles physician, patient, visitor, and employee complaints related to patient access.
• Oversees the verification of third-party payor accounts, pre-authorization, and pre-certification requirements.
• Verifies diagnosis codes, completes medical necessity checks for Medicare, completes patient estimates, and provides consumer shopper comparisons.
• Ensures accurate diagnosis entry for reimbursement by possessing knowledge of ICD-10.
• Aid staff in ensuring department goals and initiatives are met in regard to established productivity rates, cash collection goals, and other KPIs established within the department.
• Rotates weekends on call to provide leadership on weekends at the point of service sites.
• Aids in the preparation of the bank deposit daily and reports any discrepancies to the Manager/Supervisor.
• Reviews daily audit reports and reports on performance statistics and productivity.
• Aids in providing staff education and training and is responsible for motivating and orienting staff.
• Performs real time registration audits and QA checks to ensure staff performs at the level of quality needed in registration.
• Aids in the communication of new procedures and appropriately engaging staff participation and monitoring staff compliance.

Qualifications

• High school diploma or equivalent required.
• Associate's Degree preferred or equivalent significant related work experience as detailed below.
• 5+ years' or more experience in Healthcare registration or relevant customer service environment required.
• Must be proficient in all requirements of Patient Access Associate I to IV.
• Must be proficient with registration processes and procedures throughout the department.
• Has a strong working knowledge of all online eligibility and precertification and eligibility tools and is able to train front line staff on their usage.
• Excellent communication, customer service, organizational and analytical skills required.
• Ability to prioritize and manage multiple tasks simultaneously, and to effectively anticipate and respond to issues as needed in a dynamic work environment.
• Ability to perform job duties in a high volume fast paced environment.
• Candidates must continuously display professionalism, courtesy and respect to all customers that always mirror AtlantiCare's Values/Behaviors.
• Reliable transportation is required.
• Bilingual preferred.

Benefits

Total Rewards at AtlantiCare offers a comprehensive suite of benefits and resources, including:

• Generous Paid Time Off (PTO)
• Medical, Prescription Drug, Dental & Vision Insurance
• Retirement Plans with employer contributions
• Short-Term & Long-Term Disability Coverage
• Life & Accidental Death & Dismemberment Insurance
• Tuition Reimbursement to support your educational goals
• Flexible Spending Accounts (FSAs) for healthcare and dependent care
• Wellness Programs to help you thrive
• Voluntary Benefits, including Pet Insurance and more

Pay

Details about pay are not specified in the job posting.

Schedule

Details about schedule are not specified in the job posting.