Lead Patient Registration Representative
About The Position
The Lead Patient Access Representative assists management in maintaining departmental standards and resolving daily issues. The Lead is knowledgeable about registration processes, policies, and procedures, including precertification. The role communicates education needs, discipline matters, and concerns to management, and responds to patient and customer concerns as needed. This position is based at Olathe Hospital and works Monday through Friday, 5:00 p.m. to 1:30 a.m. The Lead also performs Patient Access Representative duties as needed, helps ensure accurate and timely registration and precertification work, and monitors staff workload.
Requirements
- High school graduate.
- At least 1 year of referral experience.
Nice To Haves
- At least 2 years of patient access experience.
Responsibilities
- Communicate with multiple disciplines across the health care continuum about eligibility, benefits, and service authorizations to identify payment responsibilities.
- Act as a liaison between Olathe Hospital and health plans or HMOs to support compliance with precertification and authorization requirements and facilitate reimbursement.
- Perform Patient Access Representative duties as needed.
- Communicate education needs, discipline matters, and concerns to management.
- Respond to patient and customer service concerns.
- Assist with achieving identified departmental goals, as applicable.
- Promote processes that prevent reimbursement denials; help identify and investigate denials in a timely manner and, when indicated, perform or assist with appeals to support successful reversals.
- Communicate process changes, issues, and concerns effectively to staff.
- Obtain benefit verification and hospital precertification for all inpatient patients and applicable outpatient and observation patients.
- Document information accurately and completely.
- Monitor staff to ensure workloads are completed and handled in a timely manner.
- Perform the professional, clinical, and/or technical competencies required by the assigned unit or department.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
High school or GED
