Supervisor Patient Access Services

SUMMARY:

Supervises employees engaged in scheduling, registration, insurance verification, verifying practitioners’ orders, admitting, and/or transferring outpatients, inpatients, and/or Emergency Room patients.  Ensures that documentation is accurate, financial information is verified, and provides information to appropriate units in a timely manner.

ESSENTIAL FUNCTIONS:

Performs supervisory functions: prepares work schedules, assigns staff, observes and reviews performance to provide input to formal evaluations, makes recommendations for personnel actions, assists in staff selection, provides orientation, training and ongoing in-services for staff, and schedules and supervises Patient Access Services functions/activities so as not to interrupt or interfere with patient care activities.

Exhibits excellence in customer service through appropriate attitude and interaction with all patients, visitors and staff; adheres to and supports staff in exhibiting TMCH values of integrity, community, compassion, and dedication. 

Demonstrates and upholds established standards of behavior, safety, and confidentiality, as well as TMCH and department policies and standards; ensures compliance with all applicable regulatory requirements.

Provides input for budget preparation and monitors/controls expenses within approved budget allocations.

Compiles and distributes information regarding patient’s personal, insurance, and financial status.

Provides appropriate forms to billing and other departments.

Maintains department records, reports, and files as required.

Authorizes written and/or verbal inquiries to third party payers to reconcile patient accounts.

Interprets and explains hospital policy regarding charges and payment of bills to employees, patients, and their representatives and may collect deposits or deductibles as required.

Maintains current knowledge of regulatory requirements and practices related to patient billing processes.

Ensures notification of ancillary and admitting departments of affected patient’s charges, cancellations, and/or problems, which may affect patient care quality, when necessary.

Oversees the process of notification to Manager Access Financial Services when financial counseling intervention is indicated for potential uncompensated care.

Schedules procedures, participates in pre-registration and financial verification of patients, when necessary to ensure the smooth work flow of the unit.

Implements CPT and other coding systems with periodic review; maintains current coding knowledge.

Adheres to TMCH organizational and department-specific safety, confidentiality, values policies and standards.

Performs related duties as assigned.

MINIMUM QUALIFICATIONS

EDUCATION:  Associates Degree (A.A.) or equivalent from an accredited two-year college or technical school, or an equivalent combination of relevant education and experience.

EXPERIENCE: Four (4) years related medical billing, insurance and scheduling experience, preferably in a lead or supervisory role.

LICENSURE OR CERTIFICATION: Heartsaver CPR (HSCPR or HSFACPR) certification required within ninety (90) days of employment for Pediatrics Therapies department only. CHAM (Certified Healthcare Access Manager) preferred.       

KNOWLEDGE, SKILLS AND ABILITIES:

• Knowledge of hospital billing, insurance and scheduling processes and procedures.

• Knowledge of medical terminology and coding.

• Skill in the use of computer applications such as: Excel, Word, Internet, e-mail, and terminal emulator programs; maintains basic knowledge of networked computer systems.

• Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.

• Possesses and maintains knowledge of current regulatory and third party payer changes with respect to authorizations, verification requirements to support billing reimbursement.

• Ability to write reports, business correspondence, and procedure manuals.

• Ability to effectively present information and respond to inquiries or complaints from employees, patients, and/or their representatives, and the general public.

• Ability to calculate figures and compute rate, ratio, and percent and to draw and interpret bar graphs; ability to apply basic algebraic concepts.

• Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.

• Ability to solve problems involving several concrete variables in standardized situations.