Supervisor Patient Access

Job Title

Supervises and coordinates activities and employees related to all patient access processing including: registration, scheduling, and insurance verification, of patients within the healthcare system to ensure the financial viability of the clinical and business enterprise.

Minimum Qualifications

Education, Certification, and/or Licensure:

1. High school graduate or equivalent.

2. Obtain HFMA Certified Revenue Cycle Representative (CRCR) Certification within one (1) year of hire.

Experience: 1. Two (2) years of patient financial services, patient access, or registration experience.

Preferred Qualifications

Education, Certification, and/or Licensure:

1. Associates Degree, BA or BS.

Experience: 1. Two years of experience in a healthcare setting 2. Supervisory experience.

Core Duties and Responsibilities

1. Supervises and coordinates activities related to registration & scheduling. Maintaining current knowledge of third party payor and managed care requirements

2. Coordinates and supervises access processing for verification, notification and pre-certification to minimize payment denials

3. Provides daily supervision to staff to ensure prompt and courteous service to patients, visitors, physicians, and co-workers.

4. Monitors daily operations to help ensure adherence to documented administrative and departmental policies and procedures as well as assist in development and upkeep of departmental policies and procedures.

5. Coordinates registration, scheduling with other departments and/or outside referral sources/agencies/facilities to ensure continuity of care, timely communication and accurate patient processing.

6. Interviews and screens potential employees using Targeted Selection and makes recommendations department Manager or Director to aid in filling vacant positions.

7. Ensures that training of new employees is completed as well as identifies on-going continuing education needs of existing employees.

8. Handles patient/family or staff complaints, investigates complaint and makes recommendation on appropriate resolution.

9. Monitors performance of staff on a daily basis to ensure efficient high quality service.

10. Completes performance evaluations for new employees, as well as annual evaluations.

11. Participates with Manager in evaluation of employees who fall below expectations.

12. Able to institute first step (verbal counseling) of WVUH Corrective Action Policy.

13. Coordinates staffing schedule including leave time to ensure adequate departmental coverage and maintains functional knowledge of operational areas and is able to step into staff as needed.

14. Keeps staff informed of process, policy and other changes through presentation at regular staff meetings, face to face communications and e-mail correspondence.

15. Assist staff in the coordination of financial services prior to visit with other departments or customers as appropriate.

16. Communicates problem hindering workflow to Manager or Director in a timely manner.

17. Organizes and executes daily task in appropriate priority to achieve optimal productivity, accountability and efficiency.

18. Assist with annual budget process.

19. Maintains registration accuracy threshold of 95% as identified in audit processing.

20. Compiles daily cash deposits and reconciles individual cash drawers.

Physical Requirements

1. Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping and feeling are necessary body movements utilized in performing duties throughout the work shift.

2. Must be able to sit for extended periods of time.

3. Must have reading and comprehension ability and must be able to read and write legible in English.

4. Visual acuity must be within normal range.

5. Must be able to communicate effectively.

6. Must be able to exert in excess of 50 pounds of force occasionally to move patients or objects.

7. Must have manual dexterity to operate keyboards, fax machines, telephones and other business equipment.

Working Environment

1. Office type environment.

2. Patient care environment.

Skills and Abilities

1. Excellent oral and written communication skills.

2. Working knowledge of computers.

3. Basic knowledge of medical terminology, third party payors, knowledge of business math, time of service collection, process ICD-9 and CPT coding preferred.

4. Must demonstrate the ability to use tact and diplomacy in dealing with others.

5. Excellent Customer service and telephone etiquette.

Additional Job Description

Scheduled Weekly Hours: 40

Shift: Exempt/Non-Exempt: United States of America (Exempt)

Company: RMH Reynolds Memorial Hospital

Cost Center: 545 RMH Patient Access

Address: 800 Wheeling Avenue Glen Dale West Virginia

Equal Opportunity Employer

West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.