Lead Emergency Department Patient Access 2382451 | Chandler, Arizona

Patient Access Lead

Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

The Patient Access Lead functions as an integral member of the team and is the first point of contact for all persons inquiring about the provider's practice. The primary role is to organize the practice's daily activities and paperwork, while ensuring a positive patient experience throughout the financial clearance process. Primary duties include financially clearing patients prior to discharge, counseling patients about their financial liability, verifying payer sources, assessing and referring patients to alternative payment sources, including the Payment Assistance Program and government and non-government-based payment assistance programs.

The Patient Access Lead is able to work in all registration areas as needed. Working under the supervision of the Registration Leadership, this position is responsible for assisting the Registration Management Team with training, quality assurance review and reporting, and developing and maintaining the staff schedules. The Patient Access Lead ensures timely, accurate and complete capture of all demographic and insurance information to ensure appropriate reimbursement for services rendered. In addition, the Patient Access Lead determines and collects the patient's financial liability and/or arranges payment plans for patients in need of them.

The Patient Access Lead is an information source for patients and families by explaining hospital policies, patient financial obligations, alternative payer sources, and Patient Rights and Responsibilities

Location: 1955 W Frye Rd., Chandler, AZ

Primary Responsibilities:

• Maintains up-to-date knowledge of specific registration requirements for all areas, including but not limited to: Main Admitting, OP Registration, ED Registration, Maternity, and Rehabilitation units
• Ensures complete, accurate and timely entry of demographic information into the ADT system at the time of registration
• Properly identifies the patient to ensure medical record numbers are not duplicated
• Responsible for reviewing assigned accounts to ensure accuracy and required documentation is obtained and complete
• Meet CMS billing requirements for the completion of the MSP, issuance of the Important Message from Medicare, issuance of the Observation Notice, and other requirements, as applicable and documenting completion within the hospital's information system for regulatory compliance and audit purposes
• Collects and enters required data into the ADT system with emphasis on accuracy of demographic and financial information in order to ensure appropriate reimbursement
• Carefully reviews all information entered in ADT on pre-registered accounts. Verifies all information with patient at time of registration; corrects any errors identified
• Identifies all forms requiring patient/guarantor signature and obtains signatures
• Ensures all required documents are scanned into the appropriate system(s)
• Identifies all appropriate printed material hand-outs for the patient and provides them to the patient/guarantor (Patient Rights and Responsibilities, HIPAA Privacy Act notification, Advance Directive, etc.)
• Follows 'downtime' procedures by manually entering patient information; identifying patient's MRN in the MPI database, assigning a financial number; and, accurately entering all information when the ADT system is live
• Follows EMTALA-compliant registration steps for both Emergency Department and Labor and Delivery areas
• Assesses self-pay patients for presumptive eligibility and when appropriate, initiates the process
• In the Emergency Department follows protocol for special cases, including but not limited to 5150, Sexual Assault Response Team (SART), Domestic Violence patients, Child Protective Services, incarcerated patients, Worker Compensation patients, auto accidents, animal bite reporting, etc. as required
• Monitors and addresses tasks associated with the Mede/Analytics PAI tool
• Follows approved scripting, verifies insurance benefits on all patients registered daily by using electronic verification systems or by contacting payers directly to determine the level of insurance coverage
• Thoroughly and accurately documents insurance verification information in the ADT system, identifying deductibles, copayments, coinsurance, and policy limitations
• Obtains referral, authorization and pre-certification information; documents this information in the ADT system and submits notices of admission when necessary
• Verifies medical necessity check has been completed for outpatient services. If not completed and only when appropriate, uses technology tool to complete medical necessity check and/or notifies patient that an ABN will need to be signed. Identifies payer requirements for medical necessity
• Verifies patient liabilities with payers, calculates patient's payment, and requests payment at the time of registration
• Identifies any outstanding balance due from previous visits, notifies patient and requests patient payment
• Sets up payment plans for patients who cannot pay their entire current copayment and/or past balance in one payment
• Thoroughly and accurately documents the conversation with the patient regarding financial liabilities and agreement to pay
• When collecting patient payments, follows department policy and procedure regarding applying payment to the patient's account and providing a receipt for payment
• Clarifies division of financial responsibility if payment for services is split between a medical group and an insurance company. Ensures this information is clearly documented in the ADT system
• When necessary, escalates accounts to appropriate Patient Registration leadership staff, based on outcomes of the verification process and patient's ability to pay clinic(s)

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School Diploma/GED
• 2+ years of experience analyzing and solving complex customer problems
• 1+ years of Patient Access and/or Patient Registration experience
• Ability to work 100% onsite at 1955 W Frye Rd., Chandler, AZ
• Ability to work Thursday - Saturday, 6pm to 6:30am. It may be necessary, given the business need, to work occasional overtime and on call
• Must be 18 years of age or older

Preferred Qualifications:

• 1+ years of experience with prior authorizations
• 1+ years of team lead experience in patient access
• Experience with Microsoft Office products
• Working knowledge of medical terminology
• Understanding of insurance policies and procedures
• Ability to perform basic mathematics for financial payments
• Experience in requesting and processing financial payments
• Experience in insurance reimbursement and financial verification

Soft Skills:

• Strong interpersonal, communication and customer service skills

Physical and Work Environment:

• Standing for long periods of time (10 to 12 hours) while using a workstation on wheels and phone/headset

**PLEASE NOTE** The sign-on bonus is only available to external candidates. Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ('Internal Candidates') are not eligible to receive a sign on bonus.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution