Lead Patient Representative - Pre-Registration

Bronson Healthcare

2d•Onsite

About The Position

This position monitors the day-to-day operations of the Patient Access Pre-Registration Team. Utilizes leadership skills to support staff, solve problems, and make decisions. Leads and coordinates education of the scheduling staff. Oversees the quality and quantity of workflow to ensure completion of work assignments. Bronson Healthcare is a community-owned, not-for-profit health system that has been serving southwest Michigan since 1900. Today, with a workforce of 9,000 people and 1,500 medical staff members, it is the area’s largest employer and leading healthcare system. Bronson provides care in virtually every specialty and offers a full range of services from primary care to critical care at more than 100 locations. Bronson’s exceptionally high quality standards enable us to do what’s right for our patients and their families. We are empowered as individuals and as teams, to apply our skills and experience so that every patient receives safe, timely and effective treatment. This unwavering commitment to serving others combined with our unique healing environment helps make the patient experience here an exceptional one. The excellence and Positivity of our employees and medical staff has contributed to Bronson Healthcare being ranked by Forbes as one of America’s Best-In-State Employers (2022-23), by Newsweek as one of America’s Greatest Workplaces for Women (2023) and by the National Association for Business Resources as one of the 2023 Top 101 Best and Brightest Companies to Work For.

Requirements

High school diploma or GED.
Knowledge of medical terminology, and CPT, ICD-10 coding.
Must have excellent computer skills (i.e. Microsoft Office, Medic).
Demonstrate the ability to facilitate a team and be a team member.
Demonstrate the ability to identify opportunities for improvement.
Problem-solving skills to critically analyze data and recommend alternative plan of action.
Must have excellent verbal and written communication skills.
Ability to maintain positive customer service.
Ability to establish effective working relations with office staff and employees in a team environment.
Must maintain the highest level of confidentiality.
Effective prioritization skills and ability to manage time independently.
Within 18 months of employment, must be registered to take the Certified Healthcare Access Associate (CHAA) certification through National Association of Healthcare Access Management (NAHAM), and required to obtain within 24 months of hire, plus maintain certification during employment.
Primary source verification can take up to two months after the CHAA exam from NAHAM.
Verification from the Bronson Preceptor for the CHAA can provide the preliminary document of pass or fail.
Passing the CHAA will allow them a two month grace on the schedule until primary source can be verified.
Please reference the CHAA Certification Standard Operating Procedure (SOP).

Nice To Haves

Prefer previous referral experience.
Prior Epic experience helpful.

Responsibilities

Monitors the day-to-day operations of the Patient Access Pre-Registration Team.
Utilizes leadership skills to support staff, solve problems, and make decisions.
Leads and coordinates education of the scheduling staff.
Oversees the quality and quantity of workflow to ensure completion of work assignments.
Orient, train, and provides education for staff related to scheduling and registration processes, testing prior authorization procedures and processes, and management of work queues.
Acts as a subject matter expert for the organization by providing guidance.
Facilitates the resolution of problematic situations and informs appropriate leadership of action taken.
Utilizes numerous computer programs including Epic, On Base, Right Fax, Trace, Experian OneSource.
Facilitate staff access to payor specific sites needed.
Knowledge of revenue cycle components and his/her role in the ability to impact the overall process.
Review reports (productivity and quality).
Verification of health plans and authorization for services.
Identify and address areas of improvement in scheduling process and provide recommendations to improve procedures; enhance workflows.
Monitors work volume, efficiency standards and other management concern for areas of responsibility.
Make recommendations for changes when necessary.
Provide suggestions and give input into both short and long term departmental plan.
Work with leadership to establish and monitor personal and department goals/plans.
Responsible for making recommendations to leadership regarding items that affect budget such as increase or decrease staffing needs, equipment and supply purchases and overtime usage.
Work closely with Patient Access and Radiology Leadership, staff and IT to ensure understanding of the scheduling process and responsibilities.