Lead Patient Access Representative

Patient Registration Specialist Lead

Pay Range: $25.00 - $33.71

The Patient Registration Specialist Lead is expected to perform at a higher level or generally more complex job-specific responsibilities from a Patient Registration Specialist. The Patient Registration Specialist Lead provides support to Patient Registration Supervisor and peers with training, auditing and reporting of the registration operations. PRS is a subject matter expert in training on the following: obtaining, and verifying demographic, financial, and insurance information during the registration process, accepts point of service payments or provides guidance for payment options, and clears the patient for service delivery. The PRS Lead is an expert role in Patient Registration and will function as the team leader under supervisor guidance. The PRS Lead works closely with the Patient Registration Supervisor or Manager to ensure goals are met for the site (locally assigned) or discipline (consortium-wide assigned).

SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement.

Working at SEARHC is more than a job, it's a fulfilling career. We offer generous benefits, including retirement, paid time off, paid parental leave, health insurance, dental, and vision benefits, life insurance and long and short-term disability, and more.

Key Essential Functions and Accountabilities of the Job

• Manages scheduling resources for patient appointments
• Manages communication tools for patient scheduling requests by patients and care teams
• Manages the pre-registration review process for insurance verification for upcoming appointments
• Retrieves payment collection for services, flat rate services, co-pay or up-front collections
• Collects documentation by the requirements and timeliness for registration compliance
• Scan registration documents into the electronic health record
• Reviews and assigns insurance tiering for proper payor assignment.
• Validates insurance eligibility and pre-authorization requirements
• Communicates with peers, patients, and care teams through multiple communication channels for appointment requests and patient-initiated outreach
• Create new patient profiles in the electronic health record with quality data input of demographic information and proper identification collection
• Manages multiple worklists assigned: New Patient Registration Worklist
• Schedules and register for various disciplines: Primary Care, Behavioral Health, Optometry, Rehabilitation, Radiology, Laboratory, and others. Cross training for assigned coverage as a PRS.
• Coordinates signing up patients in the MySEARHC patient portal
• Enacts SEARHC's 7 Standard of Service Excellence and provides exceptional customer service delivery
• Works well with peers, patients, and leadership
• Participates in departmental improvement efforts, maintains a clean and safe working environment for self, staff, and patients, and maintains compliance with annual competencies.
• Identifies community resources, fosters partnerships, and utilizes resources effectively.
• Refers all patients without insurance coverage or questions to a Financial Counselor for resolution.
• Refers patients to the Patient Health Benefits team for screening/enrollment in available/qualified insurance resources
• Provides training for new employees in the PRS Trainee and PRS roles
• Under the guidance of supervisor, audits encounters of PRS Trainee and PRS team members and shares corrections that need to be made.
• Reporting: Schedule fill rate tracking, third next available
• Monitors incoming schedule requests messaging tools for timely response by team
• Monitors standby/waitlist for timely response by team
• Manages updates to provider’s 90 day rolling schedules and block placements
• Provides supervisor support in the absence of the supervisor with guidance by manager
• 60% of the job will require training and work the tasks in the PRS Trainee and PRS JD 20% auditing and reporting and 20% care team/dyad partner communication.
• Other duties as assigned

Additional Details:

Education, Certifications, and Licenses Required

• High School Diploma or GED preferred
• Preference given to applicants with advanced degree.
• Basic Life Support preferred.

Experience Required

• 2 years of healthcare office experience or a minimum of an associate degree in lieu of healthcare office experience required.
• Internal candidates with at least 1 year of experience as a Patient Registration Specialist or similar role at SEARHC will be considered qualified for this role.

Knowledge, Skills, and Abilities :

Knowledge of

• Available services at SEARHC, other tribal health organizations in Alaska, and community.
• Customer service principles.
• General knowledge of front-end revenue cycle requirements

Skills in

• Skilled at attention to detail and quality data input.
• The use of equipment such as computers.
• Oral and written, and interpersonal communications.
• De-escalation and critical thinking skills
• Quality review and providing training feedback

Ability to

• Prioritize work and multi-task in a fast-paced office setting with many interruptions
• Receive escalated scenarios for review prior to escalating to supervisor
• Read and comprehend simple instructions, short correspondence, and memos
• Demonstrate time-management, organizational, and customer service skills
• Work flexible hours with limited unplanned absence and ability to work independently

Computer Skills:

• Proficient in Microsoft Office Products including Word, Excel, and PowerPoint

Other Qualifications:

• Strong organizational & time management abilities
• Teamwork
• Leadership
• Proficient in EHR systems

Travel Required:

• Travel

Safety and Risk Management Responsibilities:

• Employees are responsible for complying with safe work rules; reporting all accidents and injuries immediately; cooperating in all accident and injury investigations; reporting defective equipment and unsafe conditions.

Physical Demands:

• While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to stand; walk; sit; use hands to finger, handle or feel and reach with hands and arms.
• The employee is occasionally required to climb or balance; stoop, kneel, crouch or crawl. The employee must lift and/or move 50 lbs.

Work Environment:

• The noise level in the work environment is usually moderate.

Position Information:

Work Shift: OT 8/40

If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!