Shift: Evening, Occasional rotation as needed
Hours: 3P-11P
Main Function:
Supervises day-to-day activities of the Patient Access E.D. team with emphasis on patient access/satisfaction, insurance/demographic verification and accuracy, and point of service collections, while maintaining confidentiality, professionalism and ethics. Reports to Manager of Patient Access.
Duties and Responsibilities – Patient Access:
1. Is responsible for daily production operations of the ED team. Team should be achieving 95% accuracy rates for all demographic, insurance, and email information. Supervisor will maintain regulatory and functional knowledge of all information required to register and bill all patient types in database to ensure timely and accurate filing. Will keep abreast of all updates within the Soarian software system and related clinical hospital systems.
2. Fosters team building throughout Patient Access team by ensuring staff are accurately trained, maximizing usage of applicable tools, and meeting applicable Service Standards continuously.
3. Is responsible for the scheduling of ED registration staff. Coordinates/assigns daily duties/work lists to Outpatient and ED staff. Ensures employees are complying with attendance guidelines and time cards reflect an accurate record of time.
4. Supervisor will assist with finding coverage and reassigning work tasks for call-ins and for employee vacations.
5. Performs quality audits on Patient Access ED team and shares feedback with applicable employees, while monitoring and trending repetitive behavior. Audit rate should be less than 2-5% per employee.
6. Is responsible for instituting and engaging Patient Access ED team in meeting financial collection Service Standard goals. Co-pays should be collected at time of service when possible.
7. Is responsible for development and maintenance of payor requirements, including creating “cheat sheets” and training manuals that support Patient Access team successful processes.
8. Performs and keeps Director of Patient Access informed of Service Standards goals, performance evaluations and disciplinary issues, as well as other related statistical data or issues involving the Patient Access team. Engages the Director in new hire process.
9. Is responsible for timely completion of introductory period and annual performance evaluations on Patient Access Outpatient and ED team.
10. Is responsible for cost control and development of process efficiencies while assisting Director and Assistant Director in meeting/maintaining budgetary goals.
11. Is responsible for ensuring Patient Access ED team distributes patient related materials and obtaining patient or designee’s electronic signature on all necessary consents, permits, financial forms, as well as community care application, when applicable.
12. Ensures Patient Access team completes accurate charge entry information. Quality audit and training should be conducted periodically.
13. Assists Patient Access team in coordination efforts with Nursing Services/Designee on the efficient use of available beds, including inpatient, and observation, while adhering to appropriate registration/charge entry standards.
14. In order to provide the highest quality of care to our patients, may be required to work beyond normal scheduled shifts and will be required to comply with the System’s attendance policy.
15. Employee will assist in staff training of peers, colleagues and management, as applicable, when requested.
16. Employee is required to comply with all current and future policies and procedures and report directly to the Director of Patient Access.
17. Soarian duties: daily review of Soarian/QCPR work lists – errors – reports – required updates, uncollected co-pays and reviews.
18. Employee is responsible for attending all mandatory educational, compliance and safety programs.
19. Employee understands and demonstrates the importance of satisfying the needs of the patient/ customer by interacting with him/her in a friendly and caring way, being attentive to the customer’s needs, both psychologically and physically, and by taking the initiative to maintain communication with the customer in order to provide a secure and pleasant experience throughout the System.
20. It is understood that this job description lists typical duties for the classification and is not to be considered inclusive of all duties, which may be assigned.
Education:
Associates or higher education preferred. Minimum high school or equivalent with four (4) years relevant experience including one or more years supervisory experience or lead worker experience.
Experience:
A minimum of five (5) years prior healthcare, finance, collection or billing experience required with three (3) years of Supervisory experience. Experience with computer applications required. Medical terminology and coding experience beneficial.
CARDIOPULMONARY RESUSCITATION (CPR) REQUIREMENTS:
No CPR required.
Requirements:
Good interpersonal skills; able to relate well with a wide cross-section of professionals, patients and other Departments in the System. Must be polite, courteous and trustworthy in safeguarding confidential information. All functions are essential.
Physical Demands:
Light physical activity. Emergency room environment (as applicable). Patient interaction with sitting, walking and computer usage required.
Exposure Category:
Category III. Tasks that involve no exposure to blood, body fluids, or tissues. Category I tasks are not a condition of employment.