Patient Access Lead - FT, Days (7A-3:30P) - Methodist Outpatient

Jefferson Health Plans • Philadelphia, PA

2d • Onsite

About The Position

This role provides day-to-day support to Patient Access Representatives, acting as a subject matter and technical expert. The Lead ensures staff offer a positive patient experience, demonstrating effective communication and customer service skills with staff, patients, families, and leadership. They are responsible for training and educating staff on accurate order entry, demographic and insurance information, including authorizations, referrals, and medical necessity. The Lead also ensures staff compliance with departmental and institutional protocols, including communicating and collecting out-of-pocket liability from patients.

Requirements

• Knowledge of patient registration, third-party insurance coverage including manage care plans, benefits, authorizations/referrals and coverage requirements.
• Proficient with Computer and Microsoft Office skills and familiar with healthcare EHR applications i.e. EPIC, Cerner.
• Demonstrates the ability to provide feedback and coaching.
• Strong verbal and written communication and customer service skills.
• Required High School Diploma or GED AND 3 years of patient registration experience.

Nice To Haves

• Previous experience working in a physician’s office or hospital registration setting strongly preferred.
• HFMA Certifications preferred.

Responsibilities

• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.
• Ensures timely, efficient, and accurate registration processes are followed by staff.
• Keeps current on insurance tip sheets and workflow updates.
• Ensures regulatory and compliance requirements are met; complies with departmental and institutional protocols.
• Distributes work assignments, daily.
• QA's a sample of registrations to ensure overall accuracy, provides feedback on deficiencies. Coaches and tracks for performance improvement, daily.
• Backfills for staff during meal breaks. Covers scheduled PTO /ETO or unscheduled absences, as needed.
• Demonstrates a professional demeanor with patients, families, coworkers, clinical and leadership by consistently fostering a positive interaction in the department.
• Trains all new hires to accurately record orders, demographic and insurance information including authorizations, referrals, medical necessity. Provides real-time coaching and feedback to staff on any workflow changes or quality errors.
• Achieves individual and team performance metrics.
• Interacts with a diverse patient base while ensuring door to doctor time is maintained according to departmental standard wait times.
• Rotates assignment to all points of service within Patient Access (Outpatient Registration and Emergency Department.).

Benefits

• medical (including prescription)
• supplemental insurance
• dental
• vision
• life and AD&D insurance
• short- and long-term disability
• flexible spending accounts
• retirement plans
• tuition assistance
• voluntary benefits
• tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED