Patient Access Supervisor

Mercyhealth Wisconsin and Illinois•Janesville, WI

9d•Onsite

About The Position

The Patient Access Supervisor is responsible for overseeing patient access and revenue cycle operations. This role ensures staffing needs are met, manages employee attendance and performance, and develops departmental policies and procedures. The supervisor also monitors data entry accuracy, adherence to financial policies, and coordinates with other departments to ensure smooth operations and maximize reimbursement. They serve as a knowledge expert for staff, staying updated on insurance, referral, and billing requirements, and provide education to clinic leadership and staff.

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

In-depth knowledge of all applications used in Patient Access and Revenue Cycle operations (e.g. EPIC, RTE, Scheduling, etc.).

Responsibilities

Ensures staffing needs are met while maintaining budgeted staffing levels and implements alternative staffing patterns as needs arise.
Reviews and processes timecards accurately and timely, and maintains accurate employee attendance files.
Interviews and hires applicants, provides orientation and training to new hires, and schedules staff development opportunities.
Supervises partners, ensures workload is distributed equitably, and conducts team meetings.
Assists staff with complex work situations and performs audits to review partner performance.
Provides timely performance improvement feedback and coaching, and evaluates partners by conducting training assessments and completing employee performance reviews.
Monitors and maintains reports and dashboards to track productivity and volume of work, setting goals and monitoring trends.
Monitors the accuracy of data entry for demographic and insurance information and adherence to access and financial policies/procedures.
Develops, recommends, and implements policies and procedures for the department, updating resources and notifying staff of changes.
Enforces established policies and procedures, including work rules, safety procedures, confidentiality standards, and regulatory standards (CMOS, JCAHO, CMS).
Monitors accuracy of scheduling functions and provider templates, making recommendations for optimization.
Monitors workqueues and reports to ensure accurate and timely registration, scheduling, and claims submission.
Coordinates functions within the work group and cooperates with other supervisors for smooth processing of claims and patient follow-up.
Maintains knowledge of payer requirements, registration and scheduling workflows, and referral requirements to maximize reimbursement.
Reviews and analyzes new government billing regulations/guidelines, new managed care contracts, and industry publications.
Ensures adherence to policies and guidelines regarding cash and check handling, and posting of payments and adjustments.
Monitors and reviews precertification and referral authorizations workflows.
Collaborates with counterparts, Patient Financial Services, and other departments on issues related to patient registration, scheduling, patient flow, insurance verification, referrals, and reimbursement.
Serves as the knowledge expert and information source for staff, staying 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 on financial policies.
Reviews registration or authorization related denials and provides education to reduce write-offs.
Performs other duties as assigned.