Lead Patient Access Representative | Immanuel - Full Time, Evenings

Trane Technologies•Omaha, NE

4d•Onsite

About The Position

The Lead Patient Access Representative demonstrates knowledge of departmental financial clearance and leads a range of duties that support departmental efficiency. The role may arrange hospital services requested by patients through referrals, analyze admission, discharge, and transfer (ADT) and revenue cycle reports, drive team performance accountability, lead shift Patient Access Operations, and collaborate with department leaders on process and operational excellence. The role provides patient registration and financial clearance services, including customer service, explanation and collection of required legal forms, financial counseling, payment collection, insurance verification, authorizations, and medical-necessity checks. It also supports hospital scheduling and coordination, patient information processing, cash reconciliation, team schedules, huddles, and department meetings. The position is based in hospital administration and may involve working in patient-care locations with potential exposure to life-threatening patient conditions. Candidates may be required, as applicable and permitted by law, to provide confirmation of required vaccinations and screenings before starting employment. Employees must be available to work hours and days as departmental or system demands require and provide on-call scheduling support when required.

Requirements

High school diploma or GED required.
Two to four years of experience in a medical facility, health insurance, or a related area.
Minimum typing speed of 35 words per minute.
Working knowledge of software, programs, and equipment, including PCs.
Advanced customer-service skills and experience.
Ability to work in a fast-paced environment.
Ability to receive and communicate detailed information orally and in writing.
Medical Terminology course required.
Advanced patient-liability collection performance and high achievement in productivity.
Must be cross-trained in all Patient Access service areas.
Ability to use proper negotiation techniques to professionally collect money owed by patients or guarantors.
Ability to build and maintain collaborative relationships with internal and external clients to support communication, productivity, and accuracy.
Ability to identify opportunities to improve patient relations and shorten registration processing time.
Must be available to work hours and days as needed based on departmental or system demands.
Must be available for on-call scheduling support when required.

Nice To Haves

Two- to four-year college degree in Business, Accounting, Medical Administration, or a related area.
Three to five years of experience in Patient Access.
One to two years in a supervisory or lead role.
Knowledge of functions and relationships within a hospital environment.
Advanced understanding of third-party payor requirements.
Advanced understanding of compliance standards.

Responsibilities

Greet customers according to Conifer Standards of Care and provide world-class customer service.
Complete full patient registration on the date of service in accordance with financial and cash-control policies and procedures.
Explain and secure hospital and patient legal forms, including Advance Directives, Conditions of Services, Consent for Treatment, Important Message from Medicare, and EMTALA forms.
Scan protected health information and create and file patient information packets or folders for upcoming hospital services.
May schedule diagnostic or surgical procedures, conduct physician-office and patient interviews, explain hospital procedure guidelines and policies, and coordinate schedule modifications with clinical departments.
Provide patient financial counseling, education, and referrals; complete patient-liability collection escalations using proper and compliant collection techniques before, during, and after the date of service.
Perform hospital cash reconciliation and secure payment entry in accordance with financial and cash-control policies and procedures.
Complete medical-necessity checks and verification; verify insurance, benefits, coverage, and eligibility; complete assigned registration financial-clearance worklists; obtain authorizations for scheduled and unscheduled hospital services; and secure inpatient visit notification to payors.
Analyze ADT and revenue cycle reports and complete departmental operational reports based on team performance accountability.
Lead shift Patient Access Operations and collaborate with department leaders on process and operational excellence.
Create staff schedules, review time-off requests, and facilitate team huddles and department meetings.
Resolve physician-office and patient issues.
Provide on-call scheduling support when required.