Patient Access Supervisor

Mercyhealth Wisconsin and Illinois•Freeport, IL

40d•$50,183 - $75,275•Onsite

About The Position

Mercyhealth is seeking a Patient Access Supervisor to oversee patient access and revenue cycle operations. This role involves managing staff, ensuring efficient workflows, and maintaining compliance with various regulations and policies. The supervisor will be responsible for hiring, training, performance management, and continuous improvement of the patient access team. This position plays a crucial role in ensuring accurate patient registration, scheduling, and financial data entry, ultimately contributing to maximized reimbursement and patient satisfaction.

Requirements

High school diploma or equivalent preferred.
Associates degree in a business or healthcare field required (or an equivalent of experience, certification and years of service).
Four years of patient access, revenue cycle or other healthcare experience required, with emphasis in access services, POS collections, registration, scheduling, insurance verifications/authorization, billing, or customer service preferred.
Two years of prior leadership related experience required.
Healthcare revenue cycle related certification or an equivalently designated certification approved by management required within 1 year.
Proven ability to work effectively in a team environment.
Strong typing/data entry experience.
Strong organizational skills and attention to detail, accuracy and follow-through.
Knowledge of medical terminology preferred.

Nice To Haves

Emphasis in access services, POS collections, registration, scheduling, insurance verifications/authorization, billing, or customer service.
Knowledge of medical terminology.

Responsibilities

Ensure staffing needs are met while maintaining budgeted levels and implementing alternative staffing patterns as needed.
Review and process timecards accurately and in a timely manner.
Maintain accurate employee attendance files.
Interview and hire applicants to maintain adequate staffing levels.
Provide orientation and training to new hires, completing necessary competency/orientation checklists.
Actively seek and schedule staff development opportunities.
Supervise staff, ensuring workload is distributed equitably.
Conduct team meetings to apprise staff of changes and address program area issues.
Assist staff with complex work situations.
Perform audits to review partner performance and ensure policies and procedures are followed.
Provide timely performance improvement feedback and coaching.
Evaluate partners by conducting training assessments and completing employee performance reviews.
Monitor and maintain reports and dashboards to track productivity.
Track and measure work volume to set goals and monitor trends.
Monitor the accuracy of data entry for demographic and insurance information and adherence to access and financial policies.
Develop, recommend, and implement policies and procedures for the department, updating resources as necessary.
Enforce established policies and procedures, including work rules, safety, confidentiality, CMOS, JCAHO, and CMS standards.
Monitor accuracy of scheduling functions and provider templates, making recommendations for optimization.
Monitor workqueues and reports to ensure accurate and timely registration, scheduling, and claims submission.
Coordinate functions within the workgroup and cooperate with other supervisors for smooth processing of claims and patient follow-up.
Maintain understanding of payer requirements, registration/scheduling workflows, and referral requirements to maximize reimbursement.
Review and analyze new government billing regulations, managed care contracts, and industry publications to advise on potential impacts.
Ensure the department adheres to policies regarding cash handling, payment posting, and adjustments.
Monitor and review precertification and referral authorizations workflows.
Collaborate with counterparts, Patient Financial Services, and other departments on registration, scheduling, patient flow, insurance verification, referrals, and reimbursement issues.
Serve as the knowledge expert and information source for staff.
Keep up to date on insurance, referral, and billing requirements.
Provide Ancillary Providers with necessary information related to insurance determination and financial compliance.
Assist with application implementation, upgrades, enhancements, and usability testing.
Provide education and training to clinic leadership and partners on financial policies.
Review registration or authorization-related denials and provide education to reduce write-offs.
Perform other duties as assigned.