Supervisor of Patient Access - AHMC Healthcare
Daly City, CA 94015
About the Job
Responsible for planning, organizing, actuating, and controlling the activities of the Main Admitting, ED Admitting, Pre-Admitting/Access, Outpatient Registration, Centralized Scheduling, PBX, and Financial Advisor. The position will report to the Patient Access Director.
The Patient Access Supervisor is responsible for all day-to-day operations of the entire admitting department, including but not limited to main admitting, ED admitting, financial advisor, pre-admitting, centralized scheduling and PBX operators. Oversees scheduling of employees, education, coordinates staff meetings, and monitoring the department staff in addition to other admitting, scheduling, and PBX-related assignments. She/He is also responsible for assessing skills and performance of each staff member on a regular basis and providing appropriate resources and training for staff development. Additional responsibilites include policy and procedures, budgeting, securing of patient accounts, quality assurance, staffing and employee written and verbal communication, departmental competency testing and orientation of new employees.
The position will also be responsible for assistance with the business office, working the daily reports assigned, and will actively participate in inter-disciplinary meetings as requested and will work closely with Case Management and Patient Accounting to resolve admitting issues that affect patient care and billing functions.
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- The position is responsible for overseeing the process of patient registration in a pleasant, professional, and timely manner, being sensitive to guest services. Assure processes for accurate billing information and verification of patient eligibility/benefits and authorization at all points of entry to the facility. Ensures that any pre-certification and/or authorization are obtained to meet individual payer authorization protocols. Conducts patient/guarantor interviews, and explains hospital policies, financial responsibilities, and patient bill of rights. Ensures all necessary demographic and financial data is obtained, and accurately documented into the Evident/CPSI system.
- Identifies appropriate payer sources for routing revenue generated during the patient stay. Reviews on a daily basis pending surgical cases for prior approvals and all needed documentation, ensuring staff has completed the proper financial counseling process.
- Medical terminology knowledge. Working knowledge of hospital scheduling system. Knowledge of CPT and ICD codes is required.
- Experience with medical billing and revenue cycle is preferred.
- Assists the Director in meeting POS collection goals.
- Monitors and maintains Performance Improvement as per facility guidelines, and educates staff on policies and procedures, OHSPD, JCAHO, HCFA, and IHHI regulations. Openly communicates with both internal and external customers in the best interest of the hospital and/or patient. Perform all other duties as assigned in a positive professional manner.
- Monitors and acts on Human Resource items including, but not limited to FMLA, LOA, Employee Incident Reporting, and Workers Compensation issues.
- Monitors time and attendance using the current hospital system.
- Monitors department activities daily and provides coaching and feedback to team members when appropriate.
- Demonstrates excellent verbal and written skills.
- Demonstrates a positive and professional approach, and communicates effectively with customers and team members at all times.
- Alternate weekend On call
- Performs other duties assigned.
QUALIFICATIONS/JOB REQUIREMENTS:
EDUCATION:
- GED/High School Diploma
- Related associates degree preferred or equivalent work experience.
EXPERIENCE:
- Minimum three (3) years previous experience in the Patient Access healthcare industry or equivalent experience required. Previous supervisory or leadership experience is required. Extensive knowledge of the relationship between Admitting/Patient Access, scheduling, and authorizations is required. Patient registration experience preferred. Working knowledge of health insurance, Medicare, Medical, and third-party insurance. Microsoft Word, Excel, and Outlook proficiency preferred.