Overview
A Patient Access Supervisor is responsible for managing the patient access functions of a healthcare facility, including patient registration, appointment scheduling, insurance verification, and patient information management. This role requires strong organizational and leadership skills to oversee a team of patient access representatives, communicate effectively with other healthcare professionals, and ensure high-quality patient experiences.
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.
- Continuously evaluate and improve patient access processes, workflows, and technologies to enhance the patient experience and optimize department performance.
- 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.
- Develop and maintain positive relationships with patients, families, and caregivers by providing exceptional customer service, empathetic communication, and personalized experiences.
- 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.
- Assist 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
Education
- High School Diploma required.
Experience
- Minimum of three (3) years of experience in Patient Access or a related healthcare field required.
- At least one (1) year of supervisory or management experience required.
Knowledge
- Knowledge of healthcare regulations, insurance requirements, privacy standards, and facility policies.
- Understanding of governmental and private insurance guidelines.
- Strong clinical knowledge with the ability to conduct chart reviews and communicate effectively with physicians and medical staff.
- Experience utilizing electronic health record (EHR) systems, practice management software, and patient data management tools.
Skills and Abilities
- Excellent organizational, leadership, communication, problem-solving, and interpersonal skills.
- Ability to collaborate effectively with healthcare professionals, patients, families, and caregivers.
- Strong attention to detail, accuracy, and quality assurance.
- Ability to exercise sound judgment and maintain professionalism in a fast-paced healthcare environment.
