Access Services Supervisor - Full Time - Day

Hackensack Meridian Health•Edison, NJ

3d•Onsite

About The Position

The Supervisor of Access Services, under the general direction of the Director of Access Services, supervises the daily registration, insurance verification & benefit coverage (acquiring when necessary authorization or precertification and sending Notice of Admissions), out-of-pocket calculations, upfront cash collection functions of their assigned operational areas (OR procedures for elective admissions, Same Day Surgery and other outpatient procedures); schedule operating room cases, register Emergency Room Admissions and Emergency Treat and Release Patients and bed placement. Follow revenue cycle procedures and practices to maximize revenue potential.

Requirements

Bachelor's degree, or relevant and equivalent HMH experience.
Minimum of 3+ years prior experience in hospital patient financial services operations.
Advanced knowledge of health insurance industry, managed care issues, revenue cycle, and hospital IT systems. Prior registration, insurance verification and/or specifications experience.
Advanced knowledge of various patient accounting platforms, including those offered by EPIC.
Knowledge of medical terminology.
Excellent written and verbal communications skills.
Ability to multi-task.
Customer service oriented.
Detail-oriented with attention to detail.
Proficiency with Google and/or Microsoft applications.
Excellent analytical and interpersonal skills.

Nice To Haves

Bilingual.
Bachelor's preferred.
Graduate degree is a plus.
Epic knowledge is a plus.
Relevant professional certification.

Responsibilities

Supervises the day-to-day activities of pre-registration including insurance and benefits verification, referral procurement where needed, determining patients out of pocket expenses, notifying patients, point of service, of these obligations. With ensuring staff's adherence to insurance verification policies and procedures across their assigned areas.
Coordinates daily registration/office coverage and line personnel responsible for Inpatient/Outpatient/Ambulatory/ETD registration and related functions and manages the daily staffing levels of these personnel for all assigned areas to ensure proper patient/ flow and patient satisfaction.
Monitors frequently and audits the capture of correct registration elements and demographic information to comply with industry practices and any governmental, state, city regulatory requirements. Maximize upfront cash collections and billing accuracy standards, and makes recommendations for process changes when shortfalls are identified.
Maintains a working knowledge of the individual departmental workflows including daily reviews of staffs and supervisory workqueue (WQ) assignments. Skilled with using all necessary EPIC tools to maintain high levels of staff productivity goals set annually.
Supervises technical denial management WQ processes to maintain minimum denial levels, and advises Director of variances in expected results with corrective action ideas.
Supervises and assists management to develop monitoring and control mechanisms to evaluate employee performance relating to efficiency, accuracy and professional courtesy while communicating with patients, physicians and managed care organizations.
Prepares statistical reports when needed relating to patient throughput, and customer service, i.e., number of encounters per hospital service per day.
Identifies the needs of the patient population served and modifies and delivers care that is specific to those needs (i.e., age, culture, language, hearing and/or visually impaired, etc.). This process includes communicating with the patient, parent, and/or primary caregiver(s) at their level (developmental/age, educational, literacy, etc.).
Other duties and/or projects as assigned.
Adheres to HMH Organizational competencies and standards of behavior.