What are the responsibilities and job description for the Team Lead Patient Access- CMG Phy Revenue Cycle Svcs- FT/Days position at Centra Medical Group?
This position is responsible for successfully and efficiently managing large volumes of incoming calls, emails, and correspondence. The lead also assigns and monitors workload and process workflow for an assigned group of employees. The lead will serve as a daily go to during business operations. The lead position also provides continual feedback, education, and on-the-job training to staff as areas of opportunity are identified. The lead will work closely with management to set key performance indicators, monitor performance, and provide feedback up and down the department chain. The lead will also be expected to perform front end duties.
Required Qualifications:
High school diploma or equivalent.
One year experience in healthcare Revenue Cycle, other medical office experience, leadership, a combination or core classwork from an accredited college or university in a medical course of study or have one Revenue Cycle recognized certification.
Proficient with Microsoft Office Products.
Proficient typing and spelling.
Proficient computer skills, multitasking with data entry while using multiple computer applications.
Ability to provide high level of customer service, attention to detail, critical thinking, and have proficient written and verbal communication skills.
Preferred Qualifications:
Some college experience in healthcare, business, accounting and/or professional certification preferred. Assocaites degree and/or bachelor’s degree in medical preferred.
Patient registration experience, medical office experience, or healthcare related fields.
Have an understanding and ability to communicate financial and insurance information.
Essential Duties and Responsibilities:
Listens, researches, and responds to patient and customer inquiries in a polite and timely manner.
Review and resolve all system related work items within a given timeframe determined by leadership.
Serves as a primary backup for staff coverages.
Provides mentorship to all employees.
Collaborates with individuals at all levels of the organization where necessary.
Compiles data to present to leadership for issue escalation and resolution.
Respond to and escalate staff concerns to supervisor and includes manager when appropriate.
Shares knowledge regarding day-to-day operations or changes that impact the department.
Serves as a department subject matter expert and resource for managers and supervisors for procedures and departmental workflows.
Assists manager and supervisor in educating registration staff of any changes pertinent to their roles in assigned department. Presenting in departmental meetings as needed.
Assists with testing and coverage for system upgrades/changes and organizational go-live events.
Creating staff schedules and ensuring adequate coverage of department for scheduled time off.
Assists manager and supervisor with interviewing potential applicants for departmental openings.
Registers patients for various hospital services; meets Patient Access standards by registering patients in interviews and accurately collects patient information and demographics for various hospital services.
Verifies and reviews insurance plans and coordinates benefits on behalf of patients.
Manages payments at point of service including; collecting and posting payments, providing a receipt, and balancing transactions per shift.
Obtains completed authorizations and notifications of admissions for patients.
Assists patients with financial clearance of accounts by communicating financial responsibility through estimates, setting up payment plans, and/or providing referrals to financial counselors.
Appropriately respond to phone calls, emails, and other forms of communication.
Complies with governmental regulations in reference to healthcare, billing, the Health Insurance Portability and Accountability Act (HIPAA), The Joint Commission (TJC) standards, Centers for Medicare and Medicaid Services (CMS), Emergency Medical Treatment and Labor Act (EMTALA), as well as Centra and Acute Revenue Cycle department policies and procedures.
Other Functions:
Provides courteous service to all stakeholders (patients, patient families, teammates, other department staff, etc.) by resolving stakeholder problems, responding to inquiries, and following-up to develop and strengthen customer relationships.
Cover other shifts and departments as needed within Acute Revenue Cycle Departments.
Assist in training of new hires as needed.
Perform other duties as assigned or requested and job specifications can be modified or updated at any time.
