Patient Access Supervisor

Mercyhealth•Freeport, IL

3d•Onsite

About The Position

The Patient Access Supervisor is responsible for ensuring staffing needs are met while maintaining budgeted levels, implementing alternative staffing patterns, and processing timecards accurately. This role involves interviewing and hiring new staff, providing orientation and training, and scheduling staff development opportunities. The supervisor will oversee partners, distribute workload equitably, conduct team meetings, and assist staff with complex situations. They will perform audits to ensure policies and procedures are followed, provide performance feedback and coaching, and conduct employee performance reviews. Additionally, the supervisor will monitor productivity reports and dashboards, track work volume, and ensure the accuracy of data entry for demographic and insurance information. This role also involves developing, recommending, and implementing departmental policies and procedures, enforcing work rules, safety procedures, and confidentiality standards. The supervisor will monitor scheduling functions and provider templates, coordinate functions within their work group, and cooperate with other supervisors to ensure smooth processing of claims. A strong understanding of payer requirements, registration, scheduling, and referral processes is essential to maximize reimbursement. The supervisor will analyze new government billing regulations and managed care contracts, advise on potential impacts, and ensure adherence to policies regarding cash handling and payment posting. They will also monitor precertification and referral authorization workflows and collaborate with other departments on registration, scheduling, insurance verification, and reimbursement issues. This role serves as a knowledge expert for staff, staying updated on insurance, referral, and billing requirements, and providing necessary information to Ancillary Providers. The supervisor will assist with application implementation, upgrades, and testing, and provide education to clinic leadership and staff on financial policies. They will review registration or authorization-related denials and provide education to reduce write-offs. Other duties as assigned.

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.

Responsibilities

Ensures staffing needs are met while maintaining budgeted staffing levels.
Implements alternative staffing patterns as needs arise.
Reviews and processes timecards in an accurate and timely manner.
Maintains accurate employee attendance files.
Interviews and hires applicants to maintain adequate staffing levels.
Provides orientation and training to new hires, completing necessary competency/orientation checklists.
Actively seeks and schedules staff development opportunities.
Supervises partners and ensures workload is distributed equitably within the work group.
Conducts team meetings to apprise staff of changes and to address broader-based program area issues and initiatives.
Assists staff with complex work situations.
Performs audits to review partner performance on an ongoing basis to ensure policies and procedures are being followed consistently and that any issues are addressed.
Provides timely performance improvement feedback and coaching.
Evaluates partners by conducting training assessment and completing employee performance reviews on time.
Monitors and maintains reports and dashboards to monitor productivity on each partner and the Department as a whole.
Tracks and measures volume of work assigned to the work group to set goals and monitor trends and shifts in volume, etc.
Monitors the accuracy of the data entry of demographic and insurance information and adherence to access and financial policies/procedures.
Develops, recommends and implements policies and procedures for the department.
Updates policy and procedure resources as necessary and ensures partners are notified of changes.
Enforces established policies and procedures, including work rules, safety procedures, confidentiality standards, CMOS, JCAHO standards and CMS standards.
Monitors accuracy of scheduling functions, provider templates and makes recommendations on template changes to best utilize providers time, while ensuring patient satisfaction.
Monitors workqueues and reports to ensure accurate and timely registration, scheduling and claims submission.
Coordinates functions within defined work group, works cooperatively with other work group supervisors to ensure smooth and timely processing of third-party claims and timely follow-up with patients.
Maintains a solid understanding and knowledge of payer requirements, registration and scheduling workflows, as well as referral requirements to ensure staff follows established procedures to maximize reimbursement.
Reviews and analyzes new government billing regulations/guidelines, new managed care contracts, and industry publications to advise Director, partners, and other department heads of potential issues that could impact billing, reimbursement and compliance.
Ensures that the department follows and adheres to all policies and guidelines regarding the handling of cash and checks, and the posting of payments and adjustments according to Finance.
Monitors and reviews precertification and referral authorizations workflows to ensure maximum reimbursement for services.
Works collaboratively with counterparts, Patient Financial Services, and other departments on issues relating to patient registration, scheduling, patient flow, insurance verification, referrals and reimbursement issues.
Serves as the knowledge expert and information source for staff.
Keeps up to date on insurance, referral, and billing requirements.
Provides Ancillary Providers with necessary and accurate information related to insurance determination and financial compliance.
Assists with application implementation, upgrades, enhancements, and usability testing.
Provides education and training to clinic leadership and partners to ensure financial policies are being adhered to.
Reviews registration or authorization related denials and provides education as necessary to reduce write offs.
Performs other duties as assigned.