Patient Access Supervisor

Overview

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

Education

• High School Diploma required.

Experience

• Minimum of three (3) years of experience in Patient Access or a related healthcare field required.
• At least one (1) year of supervisory or management experience required.

Knowledge

• Knowledge of healthcare regulations, insurance requirements, privacy standards, and facility policies.
• Understanding of governmental and private insurance guidelines.
• Strong clinical knowledge with the ability to conduct chart reviews and communicate effectively with physicians and medical staff.
• Experience utilizing electronic health record (EHR) systems, practice management software, and patient data management tools.

Skills and Abilities

• Excellent organizational, leadership, communication, problem-solving, and interpersonal skills.
• Ability to collaborate effectively with healthcare professionals, patients, families, and caregivers.
• Strong attention to detail, accuracy, and quality assurance.
• Ability to exercise sound judgment and maintain professionalism in a fast-paced healthcare environment.