Patient Accounts Lead

Job Summary

The Patient Accounts Lead will report directly to the Outpatient Supervisor and/or Emergency Room Supervisor. The Lead oversees the daily operations of specific work units within the Patient Access Department.

Essential Functions

• Serves as a knowledge expert and an escalation point for staff questions and concerns. Assists with questions regarding team functions and assist with team direction.
• Provides general assistance to the Registration/Admissions teams:
  o Train new staff and provide ongoing training for existing staff.
  o Complete quality improvement and productivity activities.
• Responsible for developing quality, productivity, and in-process measures for areas of responsibility.
• Obtains and verifies patient identity, demographic and registration information; effectively communicate the purpose for and the requirements of all required patient documents. Must be able to complete and understand the differences between registrations in the ambulatory, inpatient, or Emergency Department setting.
• Implements policies and procedures for the department, and monitor adherence. Gather and enter departmental and program specific productivity and quality of service statistics from various reporting systems.
• Reviews rejections or remittances and take corrective action as necessary to insure payment and to prevent future problems.
• Documents all insurance and patient contacts accurately in the computer.
• Partners closely with the Patient Access Supervisor(s) to provide leadership coverage and presence to the registration and admissions work units in the facility and clinic areas.
• Ensures effective operations through organizing, scheduling and monitoring department workload. Monitors work quality and productivity metrics and coordinates training as necessary.
• Trains new staff, assists in planning and development of training materials, assists in the development and implementation of quality assurance processes and serves as a go-to resource for staff.
• Ensures the effective operations of the day-to-day activities of Registration and Admissions. Identifies areas for improvement and develops plans for improving the quality of processes.
• Assesses urgent situations and provides issue resolution and de-escalation.
• Performs other duties as assigned.
• Complies with all policies and standards.

Qualifications

• Associate Degree related field preferred
• 2-4 years hospital or similar medical facility experience with Patient Access or Registration required

Knowledge, Skills and Abilities

• Knowledge of PPO, HMO, Medicare, commercial and liability insurance.
• Demonstrated ability to communicate verbally and in writing to insurance company representatives, physician office representatives, co-workers and all hospital departments and/or patient care floors.
• Good organizational and customer service skills and the ability to function effectively under stress.
• Proficiency in use of computers and printers, fax machines and computer internet services.
• Ability to work in fast-paced, coinstantly evolving environment