Patient Access Supervisor

Patient Access Supervisor

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

High School Diploma required.

1-3 years 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.